Judith Kaye Swezey, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2215 Issued in MN

Practice address

102 W Humphrey St
Lake Crystal, MN 56055

Phone

(507) 726-6639

Fax

(507) 726-6382

NPI assigned

Jan 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mankato Vision Center LLC

  • Optometrist
  • Mankato, MN
  • NPI 1821129263
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1700943115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "LAKE CRYSTAL",
            "state": "MN",
            "postal_code": "560550158",
            "telephone_number": "507-726-6639",
            "fax_number": "507-726-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W HUMPHREY ST",
            "city": "LAKE CRYSTAL",
            "state": "MN",
            "postal_code": "56055",
            "telephone_number": "507-726-6639",
            "fax_number": "507-726-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEZEY",
        "first_name": "JUDITH",
        "middle_name": "KAYE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "2215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248078600",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280025000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Minnesota Homeworks LLC
• Darian June Nagel, LICSW
• Kirk M Odden, MD
• River Valley Homes, Inc.
• Sonja Schoonenberg, RDN
• The Beacon at Lake Crystal
• Rebecca Ann Thorston, DNP, APRN, CNP
• Thro Company

• Optometrist in Lake Crystal, MN
• Providers in Lake Crystal, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.