Individual provider Active NPI

Roderick Swift

  • Optometrist
  • Danbury, CT
National Provider Identifier
1467947812
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3.003102 Issued in CT
Practice address
65 North St
Danbury, CT 06810-5640
Phone
(203) 790-9030
Fax
(203) 790-9399
NPI assigned
Jun 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3.003102 CT Primary

Addresses

Primary practice location

65 North St
Danbury, CT 06810-5640

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, CT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180912000960 MD Practitioner - Optometry 6305196320 Reassigns benefits to 2 organizations
I20180917000456 DC Practitioner - Optometry 6305196320 Reassigns benefits to 1 organization
I20190625001289 CT Practitioner - Optometry 6305196320 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

245 Amity Rd
Suite 106
Woodbridge, CT 06525-2258
Phone (203) 204-8955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3.003102CTMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jul 23, 2018 Accepting new patients
Canton Crossing Optometry, LLC Optometrist CurrentSince Jul 23, 2018 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jul 23, 2018 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Jul 23, 2018 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Jun 3, 2019 Accepting new patients
Myeyedr Optometry of Connecticut, LLC Optometrist CurrentSince Jun 3, 2019 Accepting new patients
Swift Eye Care PLLC Optometrist CurrentSince Jun 15, 2024 Accepting new patients

Locations

145 Wakelee Ave
Ansonia, CT 06401
Phone (203) 734-1686

65 North St
Danbury, CT 06810
Phone (203) 790-9030

245 Amity Rd
Ste 106
Woodbridge, CT 06525
Phone (203) 204-8955

3715 Boston St
Baltimore, MD 21224
Phone (443) 839-0335

6306 York Rd
#1-2
Baltimore, MD 21212
Phone (443) 863-5206

4412 Mitchellville Rd
Bowie, MD 20716
Phone (301) 309-0000

6804 Race Track Rd
Bowie, MD 20715
Phone (301) 262-1210

6455 Dobbin Rd
Ste 47
Columbia, MD 21045
Phone (443) 542-5999

19814 Century Blvd
Germantown, MD 20874
Phone (301) 540-1200

118 Shawan Rd
Hunt Valley, MD 21030
Phone (410) 527-1948

1809 Reisterstown Rd
Pikesville, MD 21208
Phone (410) 484-6348

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 10

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": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1467947812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "866-795-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 NORTH ST",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105640",
            "telephone_number": "203-790-9030",
            "fax_number": "203-790-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWIFT",
        "first_name": "RODERICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-28",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "3.003102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.