Individual provider Active NPI

Christian Swenby, OD

  • Optometrist
  • Guilford, CT
National Provider Identifier
1447336474
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002570 Issued in CT
Practice address
705 Boston Post Rd Ste 10a
Guilford, CT 06437-2733
Phone
(203) 458-1900
Fax
(203) 458-2300
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002570 CT Primary

Addresses

Primary practice location

705 Boston Post Rd Ste 10a
Guilford, CT 06437-2733

Mailing address

705 Boston Post Rd Ste 10a
Guilford, CT 06437-2733
Phone (203) 458-1900

Other practice location 1

1013 Boston Post Rd
Guilford, CT 06437-2606
Phone (203) 458-1900

Other identifiers 2

IdentifierTypeStateIssuer
090002570 CT01OtherCTANTHEM BLUECROSS
257000OtherCTCONNECTICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20100730000142 CT Practitioner - Optometry 5294637815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Visualeyes, LLCGroup PAC ID 5193627891, 2 clinicians

Practice addresses (Care Compare)

705 Boston Post Rd
Suite 10a
Guilford, CT 06437-2733
Phone (203) 458-1900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002570CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Center, LTD Optometrist CurrentSince Nov 1, 2012 Accepting new patients
Visualeyes,LLC Optometrist PastSince Jul 17, 2003 Accepting new patients

Locations

880 Bridgeport Ave
Shelton, CT 06484
Phone (203) 929-4030

Organizations & group practices 3

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1447336474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BOSTON POST RD STE 10A",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372733",
            "telephone_number": "203-458-1900",
            "fax_number": "203-458-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BOSTON POST RD STE 10A",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372733",
            "telephone_number": "203-458-1900",
            "fax_number": "203-458-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1013 Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "Guilford",
            "state": "CT",
            "postal_code": "064372606",
            "country_code": "US",
            "telephone_number": "203-458-1900",
            "fax_number": "203-458-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWENBY",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "002570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUECROSS",
            "identifier": "090002570 CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "257000",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

Verify at the official NPI Registry.