James W. Swedberg, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

458 Issued in NV

Legal business name

JAMES W. SWEDBERG, LLC

Practice address

1807 W Craig Rd
N Las Vegas, NV 89032-0217

Phone

(702) 399-1141

Fax

(702) 222-3956

NPI assigned

Jul 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James W. Swedberg, O.D.NPI 1063586477

Title

Member/Manager LLC

Phone

(702) 353-8534

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James W. Swedberg, O.D.

  • Optometrist
  • N Las Vegas, NV
  • NPI 1063586477
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1185580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1710177415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9044 WOLF DANCER AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891435411",
            "telephone_number": "702-353-8534",
            "fax_number": "702-222-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 W CRAIG RD",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890320217",
            "telephone_number": "702-399-1141",
            "fax_number": "702-222-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES W. SWEDBERG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-28",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "SWEDBERG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "MEMBER/MANAGER LLC",
        "authorized_official_telephone_number": "702-353-8534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710177415",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI FOR JAMES SWEDBERG, O.D.",
            "identifier": "1063586477",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carla Jackson
• Carole Anne Jackson
• Robert E Jackson
• Sevyn Jackson
• Veronica Jackson
• Dorinda James
• Michael Collins James, CRTT
• Tamura M Jamison
• Biljana Janic, M.D.
• Elizabeth Jarman, LCSW

• Optometrist in N Las Vegas, NV
• Providers in N Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.