Larry David Swanger, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

01547 Issued in IA

Practice address

2020 Grand Ave
Suite 1000
West Des Moines, IA 50265-4293

Phone

(515) 223-1266

Fax

(515) 223-1020

NPI assigned

Oct 25, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ward Vision LLC

  • Optometrist
  • West Des Moines, IA
  • NPI 1336660968
  NPD (past)

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1518957299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 GRAND AVE",
            "address_2": "SUITE 1000",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502654293",
            "telephone_number": "515-223-1266",
            "fax_number": "515-223-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 GRAND AVE",
            "address_2": "SUITE 1000",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502654293",
            "telephone_number": "515-223-1266",
            "fax_number": "515-223-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANGER",
        "first_name": "LARRY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC-RAILROAD MED.",
            "identifier": "P00140015",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073544",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Anne Sutton, LMSW
• Cheryl Ann Suvic
• Barry R Svec, DDS
• June Swain, NP-C
• Shawna Michelle Swain, PA-C
• Sara A Swansen, PH D
• Nicholas Swanson, PT
• Daniel Kendall Swenson, STUDENT PHYSICIAN
• Madeline Anne Swenson, DDS
• Meredith Swenson, D.O.

• Optometrist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.