Individual provider Active NPI

Richard S Swales, OD

  • Optometrist
  • Lawton, OK
National Provider Identifier
1447248646
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
901 Issued in OK
Practice address
2518 W Gore Blvd
Lawton, OK 73505-6315
Phone
(580) 357-6911
Fax
(580) 357-6919
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 901 OK Primary

Addresses

Primary practice location

2518 W Gore Blvd
Lawton, OK 73505-6315

Mailing address

2518 W Gore Blvd
Lawton, OK 73505-6315
Phone (580) 357-6911

Other identifiers 1

IdentifierTypeStateIssuer
100763140AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20100520000152 OK Practitioner - Optometry 2668501297 Practice locations: Lawton, OK

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2518 W Gore Blvd
Lawton, OK 73505-6307

2518 W Gore Blvd
Lawton, OK 73505-6315
Phone (580) 357-6911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
901OKMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Vision Care Servics, Inc. PastSince Oct 9, 2022 Accepting new patients

Organizations & group practices 1

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1447248646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2518 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056315",
            "telephone_number": "580-357-6911",
            "fax_number": "580-357-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2518 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056315",
            "telephone_number": "580-357-6911",
            "fax_number": "580-357-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWALES",
        "first_name": "RICHARD",
        "middle_name": "S",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100763140A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

Verify at the official NPI Registry.