Douglas Leslie Swanson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4999T Issued in CA

Practice address

55 Horton PLZ
San Diego, CA 92101-6144

Phone

(619) 544-9000

Fax

(619) 544-9863

NPI assigned

Oct 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326037706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HORTON PLZ",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016144",
            "telephone_number": "619-544-9000",
            "fax_number": "619-544-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 HORTON PLZ",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016144",
            "telephone_number": "619-544-9000",
            "fax_number": "619-544-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "DOUGLAS",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "4999T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Swanson-Ohannesyan
• Alexandria Elizabeth Swanson, ASW
• Ann E. Swanson, MFT 8921
• Ava Swanson, LMFT
• Brianna Noelle Swanson, MSN, RN, PMHNP-BC
• Heather Rae Swanson, DACM, L.AC.
• Jake Cameron Swanson, PA-C
• Kylee Swanson
• Michael Griffin Swanson, D.O.
• Natalia N Swarovski, M.D.,PH.D.

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.