Swan Creek Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SWAN CREEK VISION LLC

Doing business as

Swan creek vision

Practice address

108 S Main St
Swanton, OH 43558-1345

Phone

(419) 826-3937

NPI assigned

Nov 14, 2023

Organization subpart

No

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

Authorized official

Name

Haadia AminNPI 1811426703

Title

Owner

Phone

(419) 826-3937

Specialties & licenses 1

Addresses

Other names 1

• Swan creek vision Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Haadia Amin

  • Optometrist
  • Swanton, OH
  • NPI 1811426703
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716595200000",
    "number": "1376317834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S MAIN ST",
            "city": "SWANTON",
            "state": "OH",
            "postal_code": "435581345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S MAIN ST",
            "city": "SWANTON",
            "state": "OH",
            "postal_code": "435581345",
            "telephone_number": "419-826-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAN CREEK VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "HAADIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-826-3937"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swan creek vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Swan creek vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney Diane Steiner
• Ashley Kay Stinson
• Alan W Stobinski, D.C.
• Tifany Marie Stoncheck
• Bruce E Studer
• Swanton Chiropractic Center Inc
• Swanton Drug Inc (swanton sav-mor pharmacy)
• Swanton Drug, Inc (Swanton Pharmacy)
• Swanton Health Care & Retirement Center Inc
• Swanton Local School

• Optometrist in Swanton, OH
• Providers in Swanton, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.