Carl a Swanson OD

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

T89265 Issued in MT

Legal business name

CARL A SWANSON OD

Practice address

2509 7TH Ave S
Suite C3
Great Falls, MT 59405-3030

Phone

(406) 761-2211

Fax

(406) 761-2261

NPI assigned

Jun 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Carl A Swanson, OD

Title

Optometrist

Phone

(406) 761-2211

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308182400000",
    "number": "1588959613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 7TH AVE S",
            "address_2": "SUITE C3",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594053030",
            "telephone_number": "406-761-2211",
            "fax_number": "406-761-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 7TH AVE S",
            "address_2": "SUITE C3",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594053030",
            "telephone_number": "406-761-2211",
            "fax_number": "406-761-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARL A SWANSON OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "406-761-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MT",
            "license": "T89265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Eyewear Supplier in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.