Terrence M Swinger, OD
Individual provider Active NPI Optometrist · Caruthersville, MO
NPI 1437284635 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1437284635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- T02094 (MO)
- Practice address
- 101 E. Tenth St.
Suite a
Caruthersville, MO 63830 - Phone
- (573) 333-1860
- Fax
- (573) 333-0099
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T02094 | MO | Yes |
Addresses
Primary practice location
101 E. Tenth St.
Suite a
Caruthersville, MO 63830
Mailing address
PO Box 1137
Caruthersville, MO 63830-1137
Phone (573) 333-1860
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4741012 | Other | MO | BNDD |
| 310150305 | Medicaid | MO |
NPI Registry JSON
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1437284635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1137",
"city": "CARUTHERSVILLE",
"state": "MO",
"postal_code": "638301137",
"telephone_number": "573-333-1860",
"fax_number": "573-333-0099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E. TENTH ST.",
"address_2": "SUITE A",
"city": "CARUTHERSVILLE",
"state": "MO",
"postal_code": "63830",
"telephone_number": "573-333-1860",
"fax_number": "573-333-0099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWINGER",
"first_name": "TERRENCE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T02094",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BNDD",
"identifier": "4741012",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "310150305",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
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All providers in Caruthersville, MO · Optometrist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.