Individual provider Active NPI

Gerald B. Swearingen, OD

  • Optometrist
  • Lamar, MO
National Provider Identifier
1760487201
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T02153 Issued in MO
Practice address
808 Gulf St
Lamar, MO 64759-1239
Phone
(417) 682-3301
Fax
(417) 682-2409
NPI assigned
Jun 20, 2005
Last updated
Nov 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T02153 MO Primary

Addresses

Primary practice location

808 Gulf St
Lamar, MO 64759-1239

Mailing address

808 Gulf St
Lamar, MO 64759-1239
Phone (417) 682-3301

Other identifiers 3

IdentifierTypeStateIssuer
101135OtherMOBC/BS
310206305MedicaidMO
DA0028OtherMORR

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

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289952000000",
    "number": "1760487201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 GULF ST",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647591239",
            "telephone_number": "417-682-3301",
            "fax_number": "417-682-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 GULF ST",
            "city": "LAMAR",
            "state": "MO",
            "postal_code": "647591239",
            "telephone_number": "417-682-3301",
            "fax_number": "417-682-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEARINGEN",
        "first_name": "GERALD",
        "middle_name": "B.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2010-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "101135",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "310206305",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR",
            "identifier": "DA0028",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lamar, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.