Individual provider Active NPI

Krista L Swensen, OD

  • Optometrist
  • Greenville, OH
National Provider Identifier
1386629228
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5454T2366 Issued in OH
Practice address
133 W Main St
Greenville, OH 45331
Phone
(937) 548-6111
Fax
(937) 548-0893
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5454T2366 OH Primary

Addresses

Primary practice location

133 W Main St
Greenville, OH 45331

Mailing address

133 W Main St
Greenville, OH 45331-1401
Phone (937) 548-6111

Other identifiers 3

IdentifierTypeStateIssuer
2202589OtherUNITED HEALTH CARE
A003OtherTRI CARE FOR LIFE
000000365733OtherOHANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050620000374 OH Practitioner - Optometry 8224072376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Services of Darke County, Inc.Group PAC ID 5698762235, 57 clinicians

Practice addresses (Care Compare)

5735 Meeker Rd
Greenville, OH 45331-1180
Phone (937) 548-9680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5454T2366OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Services of Darke County, Inc. CurrentSince Nov 13, 2016 Accepting new patients
Family Health Services of Darke County Inc Current Accepting new patients
Family Health Services of Darke County, Inc. Optometrist CurrentSince Nov 13, 2016 Accepting new patients
Family Health Services of Darke County Inc Past Accepting new patients

Locations

1101 Jackson St
Ste C
Greenville, OH 45331
Phone (937) 547-2319

5735 Meeker Rd
Greenville, OH 45331
Phone (937) 548-3806

133 W Main St
Greenville, OH 45331
Phone (937) 547-0111

Interoperability endpoints

  • Direct secure messaging: krista.swensen@fhsi.eclinicaldirectplus.com

Organizations & group practices 5

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": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343779200000",
    "number": "1386629228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 W MAIN ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311401",
            "telephone_number": "937-548-6111",
            "fax_number": "937-548-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 W MAIN ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "45331",
            "telephone_number": "937-548-6111",
            "fax_number": "937-548-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSEN",
        "first_name": "KRISTA",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2012-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5454T2366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2202589",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI CARE FOR LIFE",
            "identifier": "A003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000365733",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

Verify at the official NPI Registry.