Sandra Love Swaringen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1062 Issued in NC

Practice address

48 Boone TRL
North Wilkesboro, NC 28659-3515

Phone

(336) 667-3288

Fax

(336) 838-1092

NPI assigned

Sep 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Boone Trail Optometric Eye Care, PLLC

  • Optometrist
  • North Wilkesboro, NC
  • NPI 1083850606
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396841813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 BOONE TRL",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593515",
            "telephone_number": "336-667-3288",
            "fax_number": "336-838-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 BOONE TRL",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593515",
            "telephone_number": "336-667-3288",
            "fax_number": "336-838-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWARINGEN",
        "first_name": "SANDRA",
        "middle_name": "LOVE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "09882",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909882",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SERVICES FOR THE BLIND",
            "identifier": "Y1388",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynette Bitterman Stewart, MA, NCC, LPC
• Gloria Leigh Stone, LPN
• Roger William Stotler Jr., PT
• Robin Lincoln Sumner, PA
• Megan B Swaringen, OD
• Synergy Recovery
• T. Keaton Mash, DMD, PLLC
• Leah Miraglia Tanou, PA-C
• Marley Alanna Tarlton, LCSW-A
• John David Tate

• Optometrist in North Wilkesboro, NC
• Providers in North Wilkesboro, NC by specialty
• Optometrist in North Carolina

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.