Active NPI
Korinne Marie Swain, O.D.
- Optometrist
- Muskegon, MI
National Provider Identifier
1720077845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901003090
- Practice address
- 1179 Whitehall Rd
Ste. B
Muskegon, MI 49445-2497 - Phone
- (231) 744-3573
- NPI assigned
- Oct 20, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003090 | MI | Primary |
Addresses
Primary practice location
1179 Whitehall Rd
Ste. B
Muskegon, MI 49445-2497
Mailing address
3359 Memorial Dr
Muskegon, MI 49445-2129
Phone (231) 744-1394
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900F165250 | Other | MI | BLUE CROSS & BLUE SHIELD |
| 1806648 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northshore Optometry LLC | Optometrist | Current | Accepting new patients |
| Dennis & David Company | Optometrist | Current | Accepting new patients |
Locations
30150 Telegraph Rd
Ste 371
Bingham Farms, MI 48025
Phone (734) 493-1662
1179 Whitehall Rd
Ste B
North Muskegon, MI 49445
Phone (231) 744-3573
24293 Telegraph Rd
Ste 212
Southfield, MI 48033
Phone (517) 351-8377
Organizations & group practices 2
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.
-
- Optometrist
- Bingham Farms, MI
- NPI 1730153982
-
- Optometrist
- N Muskegon, MI
- NPI 1114103140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394582400000",
"number": "1720077845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3359 MEMORIAL DR",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494452129",
"telephone_number": "231-744-1394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1179 WHITEHALL RD",
"address_2": "STE. B",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494452497",
"telephone_number": "231-744-3573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWAIN",
"first_name": "KORINNE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-20",
"last_updated": "2014-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901003090",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "900F165250",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1806648",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.