Individual provider Active NPI

Lindsay M Swearingen, OD

  • Optometrist
  • Jeffersonville, IN
National Provider Identifier
1699770123
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18003147A Issued in IN
Practice address
302 W 14TH St
Ste 100
Jeffersonville, IN 47130-3751
Phone
(812) 284-0660
Fax
(812) 284-3822
NPI assigned
Jun 21, 2005
Last updated
Nov 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003147A IN Primary

Addresses

Primary practice location

302 W 14TH St
Ste 100
Jeffersonville, IN 47130-3751

Mailing address

302 W 14TH St
Ste 100
Jeffersonville, IN 47130-3751
Phone (812) 284-0660

Other identifiers 7

IdentifierTypeStateIssuer
77000503OtherKYUNISYS
0000000208145OtherANTHEM
129645POtherSIHO
7295287OtherAETNA
7295287OtherFIRST HEALTH
918505OtherBLOCK VISION
897990OtherKYPASSPORT

Other names 1

  • Lindsay M Wallace Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003147AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Associates of Southern Indiana Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1699770123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W 14TH ST",
            "address_2": "STE 100",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303751",
            "telephone_number": "812-284-0660",
            "fax_number": "812-284-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W 14TH ST",
            "address_2": "STE 100",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303751",
            "telephone_number": "812-284-0660",
            "fax_number": "812-284-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEARINGEN",
        "first_name": "LINDSAY",
        "middle_name": "M",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003147A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISYS",
            "identifier": "77000503",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0000000208145",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO",
            "identifier": "129645P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7295287",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "7295287",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "918505",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "897990",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "WALLACE",
            "middle_name": "M",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.