Individual provider Active NPI

Patrick David Swihart, OD

  • Optometrist
  • Bend, OR
National Provider Identifier
1568087278
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4511ATI Issued in OR
Practice address
62968 O B Riley Rd
Bend, OR 97703-9442
Phone
(541) 382-2020
NPI assigned
Jun 9, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4511ATI OR Primary

Addresses

Primary practice location

62968 O B Riley Rd
Bend, OR 97703-9442

Mailing address

61391 SE Matthew St
Bend, OR 97702-3841
Phone (503) 957-0277

Other practice location 1

2250 NW Lovejoy St
Portland, OR 97210-3020
Phone (503) 719-5179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200713000107 OR Practitioner - Optometry 3072936806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Eyecare Holdings LLCGroup PAC ID 6507143724, 5 clinicians

Practice addresses (Care Compare)

336 SW Cyber Dr
Suite 100
Bend, OR 97702-1684
Phone (541) 382-5701

Merit-based Incentive Payment System (MIPS)

Final score
82.44 of 100Reported as group
Quality
64.87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4511ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Spectacle LLC Optometrist CurrentSince Jun 29, 2020 Accepting new patients
Spectacle LLC Optometrist CurrentSince Jun 1, 2020 Accepting new patients
Integrated Eyecare Holdings, LLC Optometrist CurrentSince May 1, 2021 Accepting new patients

Locations

336 SW Cyber Dr
Ste 100
Bend, OR 97702
Phone (541) 382-5701

Interoperability endpoints

  • Direct secure messaging: patrick.swihart@direct.revolutionehr.com

Organizations & group practices 3

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": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1568087278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61391 SE MATTHEW ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023841",
            "telephone_number": "503-957-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62968 O B RILEY RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977039442",
            "telephone_number": "541-382-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2250 NW Lovejoy St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972103020",
            "country_code": "US",
            "telephone_number": "503-719-5179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWIHART",
        "first_name": "PATRICK",
        "middle_name": "DAVID",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-09",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "4511ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.