Active NPI
Mark Brian Swartz, OD
- Optometrist
- El Cajon, CA
National Provider Identifier
1508908047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9102T
- Practice address
- 355 Fletcher Pkwy
El Cajon, CA 92020-2513 - Phone
- (619) 444-3100
- NPI assigned
- Feb 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9102T | CA | Primary |
Addresses
Primary practice location
355 Fletcher Pkwy
El Cajon, CA 92020-2513
Mailing address
355 Fletcher Pkwy
El Cajon, CA 92020-2513
Phone (619) 588-1704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9102T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usv Optical Inc. | Past | Accepting new patients | |
| Usv Optical Inc | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Eyewear Supplier
- El Cajon, CA
- NPI 1174537070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517875200000",
"number": "1508908047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 FLETCHER PKWY",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920202513",
"telephone_number": "619-588-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 FLETCHER PKWY",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920202513",
"telephone_number": "619-444-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWARTZ",
"first_name": "MARK",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-13",
"last_updated": "2018-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9102T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.