Organization Active NPI

Swartz Family Eyecare, LLC

  • Optometrist
  • Bellefontaine, OH
National Provider Identifier
1467572602
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4598 Issued in OH
Legal business name
SWARTZ FAMILY EYECARE, LLC
Practice address
2150 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042
Phone
(937) 593-1766
Fax
(937) 593-1557
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
Dr. Mariana Toplek-Swartz, O.D.NPI 1275696999
Title
Optometrist
Phone
(937) 593-1766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 4598 OH Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 4596 OH

Addresses

Primary practice location

2150 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042

Mailing address

2150 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042
Phone (937) 593-1766

Other identifiers 1

IdentifierTypeStateIssuer
2499934MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040907000827 OH Part B Supplier - Clinic/Group Practice 5597731018 Receives reassigned benefits from 2 practitioners
Practice locations: Bellefontaine, OH

National Provider Directory

National Provider Directory

Locations

2150 Ewing Crawfis Cir
Bellefontaine, OH 43311
Phone (937) 593-1766

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1467572602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 EWING CRAWFIS CIR",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433119042",
            "telephone_number": "937-593-1766",
            "fax_number": "937-593-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 EWING CRAWFIS CIR",
            "city": "BELLEFONTAINE",
            "state": "OH",
            "postal_code": "433119042",
            "telephone_number": "937-593-1766",
            "fax_number": "937-593-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWARTZ FAMILY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "TOPLEK-SWARTZ",
        "authorized_official_first_name": "MARIANA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "937-593-1766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4598",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4596",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2499934",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellefontaine, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.