Organization Active NPI

Schwan Vision, LLC

  • Optometrist
  • Augusta, GA
National Provider Identifier
1679667166
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2077T Issued in GA
Legal business name
SCHWAN VISION, LLC
Practice address
596 Bobby Jones Expy
Augusta, GA 30907-5300
Phone
(706) 863-1150
Fax
(706) 863-1195
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Authorized official

Name
Dr. Carol Ann Schwan
Title
President
Phone
(706) 863-1150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2077T GA Primary

Addresses

Primary practice location

596 Bobby Jones Expy
Augusta, GA 30907-5300

Mailing address

596 Bobby Jones Expy
Augusta, GA 30907-5300
Phone (706) 863-1150

Other identifiers 1

IdentifierTypeStateIssuer
436700096AMedicaidGA

Other names 1

  • Dr. Carol A. Schwan Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1679667166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 BOBBY JONES EXPY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309075300",
            "telephone_number": "706-863-1150",
            "fax_number": "706-863-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 BOBBY JONES EXPY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309075300",
            "telephone_number": "706-863-1150",
            "fax_number": "706-863-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHWAN VISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "SCHWAN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-863-1150",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "2077T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "436700096A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Carol A. Schwan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.