Individual provider Active NPI

Sidney Rose Swindell, OD

  • Optometrist
  • Laurinburg, NC
National Provider Identifier
1407744980
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2897 Issued in NC
Practice address
215 Lauchwood Dr Ste a
Laurinburg, NC 28352-4647
Phone
(910) 276-1993
NPI assigned
Jun 25, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2897 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

215 Lauchwood Dr Ste a
Laurinburg, NC 28352-4647

Mailing address

8614 Westwood Center Dr FL 9
Vienna, VA 22182-2442
Phone (703) 847-8890

Other practice location 1

7020 Six Forks Rd
Raleigh, NC 27615-6430
Phone (919) 847-5957

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251015000829 NC Practitioner - Optometry 0446747216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of North Carolina PLLCGroup PAC ID 6608019096, 167 clinicians

Practice addresses (Care Compare)

1960 Randolph Rd
Charlotte, NC 28207-1129
Phone (704) 372-5332

215 Lauchwood Dr a
Laurinburg, NC 28352-4647
Phone (910) 276-1993

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2897NCMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Oct 1, 2025 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Oct 1, 2025 Accepting new patients
Myeyedr Optometry of North Carolina Optometrist Past Accepting new patients

Locations

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

1001 Widewaters Pkwy
Knightdale, NC 27545
Phone (919) 266-6999

215 Lauchwood Dr
#A
Laurinburg, NC 28352
Phone (910) 276-1993

14460 Falls of Neuse Rd
Ste 125
Raleigh, NC 27614
Phone (919) 847-4665

7020 Six Forks Rd
Raleigh, NC 27615
Phone (919) 847-5957

3905 New Bern Ave
Raleigh, NC 27610
Phone (919) 231-6040

110 Capcom Ave
Ste 100
Wake Forest, NC 27587
Phone (919) 554-3227

12205 Capital Blvd
Wake Forest, NC 27587
Phone (919) 554-2020

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

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": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1407744980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 LAUCHWOOD DR STE A",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283524647",
            "telephone_number": "910-276-1993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7020 Six Forks Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276156430",
            "country_code": "US",
            "telephone_number": "919-847-5957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWINDELL",
        "first_name": "SIDNEY",
        "middle_name": "ROSE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2897",
            "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 Laurinburg, NC

Sources for this page

Verify at the official NPI Registry.