Active NPI
Samuel Swisher, O.D.
- Optometrist
- Marshfield, MO
National Provider Identifier
1760867808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2015026429
- Practice address
- 14740 State Hwy 38
Marshfield, MO 65706 - Phone
- (417) 859-3725
- Fax
- (417) 859-3725
- NPI assigned
- Jul 29, 2015
- Last updated
- Jul 21, 2022
- Sex
- Male
- 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 | 2015026429 | MO | Primary |
Addresses
Primary practice location
14740 State Hwy 38
Marshfield, MO 65706
Mailing address
14740 State Hwy 38
Marshfield, MO 65706
Phone (417) 859-3725
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2015026429 | MO | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1760867808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14740 STATE HWY 38",
"city": "MARSHFIELD",
"state": "MO",
"postal_code": "65706",
"telephone_number": "417-859-3725",
"fax_number": "417-859-3760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14740 STATE HWY 38",
"city": "MARSHFIELD",
"state": "MO",
"postal_code": "65706",
"telephone_number": "417-859-3725",
"fax_number": "417-859-3725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWISHER",
"first_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2015026429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.