Individual provider Active NPI

Mackenzie Marie Sward, M.D.

  • Ophthalmology Physician
  • Maywood, IL
National Provider Identifier
1285977348
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
125.064337 Issued in IL
Practice address
2160 S First Ave
Loyola University Medical Center Dept of Ophthalmology
Maywood, IL 60153-6809
Phone
(320) 219-0531
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 125.064337 IL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2160 S First Ave
Loyola University Medical Center Dept of Ophthalmology
Maywood, IL 60153-6809

Mailing address

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (320) 219-0531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170523001158 WI Practitioner - Ophthalmology 1557664778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Minnesota Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milwaukee Eye Care Associates SCGroup PAC ID 8325028731, 9 clinicians

Practice addresses (Care Compare)

1684 N Prospect Ave
Milwaukee, WI 53202-2408
Phone (414) 271-2020

Merit-based Incentive Payment System (MIPS)

Final score
90.18 of 100Reported as group
Quality
100
Improvement activities
40
Cost
67.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery214

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125.064337ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pharos Enterprises of Wisconsin, LLC Current Accepting new patients
Milwaukee Eye Care Associates S.C. Ophthalmology CurrentSince Jul 10, 2017 Accepting new patients
Milwaukee Eye Care Associates S.C. Ophthalmology CurrentSince Jul 10, 2017 Accepting new patients
Milwaukee Eye Care Associates S.C. Ophthalmology Past Accepting new patients

Locations

8909 N Port Washington Rd
Unit 210
Bayside, WI 53217

8909 N Port Washington Rd
Unit 102
Bayside, WI 53217
Phone (414) 271-2020

17280 W North Ave
Ste 100
Brookfield, WI 53045
Phone (414) 271-2020

7095 S Ballpark Dr
Apt 210
Franklin, WI 53132
Phone (414) 271-2020

1684 N Prospect Ave
Milwaukee, WI 53202
Phone (414) 271-2020

2356 S 102nd St
West Allis, WI 53227
Phone (414) 336-3000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1285977348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "320-219-0531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S FIRST AVE",
            "address_2": "LOYOLA UNIVERSITY MEDICAL CENTER DEPT OF OPHTHALMOLOGY",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601536809",
            "telephone_number": "320-219-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARD",
        "first_name": "MACKENZIE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "125.064337",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.