Swell Vision Optometry

Primary specialty

OptometristTaxonomy code 152W00000X

License

2395 Issued in NC

Legal business name

SWELL VISION OPTOMETRY

Practice address

1174 Turlington Ave Unit 104
Leland, NC 28451-6026

Phone

(910) 408-1116

NPI assigned

Sep 27, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Craig Scibal, O.D.NPI 1821499906

Title

Optometrist

Phone

(252) 646-9979

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

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

• Craig Scibal, OD

  • Optometrist
  • Leland, NC
  • NPI 1821499906
  Medicare reassignment Care Compare group NPD Authorized official
• Meghan Luisa Dalziel Brooks, O.D.

  • Optometrist
  • Leland, NC
  • NPI 1508414582
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1411776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1548663149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1174 TURLINGTON AVE UNIT 104",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516026",
            "telephone_number": "910-408-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 TURLINGTON AVE UNIT 104",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284516026",
            "telephone_number": "910-408-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWELL VISION OPTOMETRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-27",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "SCIBAL",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "252-646-9979",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Leland, NC
• Providers in Leland, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.