Sophia Nmi Swanson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

576 Issued in ND

Practice address

2800 S Columbia Rd
J.C. Penney Optical-Columbia Mall
Grand Forks, ND 58201-6076

Phone

(701) 746-4810

Fax

(701) 746-9260

NPI assigned

Jan 24, 2006

Last updated

Mar 22, 2011By the provider in NPPES

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 1

Other names 1

• Dr. Sophia Nmi Swedberg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Swanson Eye Clinic, PC

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  NPD (past) Authorized official
• Cavalier Ambulance Service, Inc

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  NPD (past)
• Heartland Eye Care, P.C.

  • Optometrist
  • Grafton, ND
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  NPD (past)
• Heartland Eye Care, PC

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  • Park River, ND
  • NPI 1932277936
  NPD (past)
• Lifetime Vision Center, LLC

  • Optometrist
  • Grand Forks, ND
  • NPI 1750591962
  NPD (past)
• Lvctr PLLC

  dba Lifetime Vision Center

  • Optometrist
  • Grand Forks, ND
  • NPI 1720385263
  NPD (past)
• Strinden Vision

  • Health Service Clinic/Center
  • Grand Forks, ND
  • NPI 1265678056
  NPD (past)
• Strinden Vision Inc

  • Optometrist
  • Grand Forks, ND
  • NPI 1033439708
  NPD (past)
• McAllen Rutz Eye Clinic PA

  • Optometrist
  • Hallock, MN
  • NPI 1164533410
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1811967706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14335 75TH ST NE",
            "city": "HOOPLE",
            "state": "ND",
            "postal_code": "582439444",
            "telephone_number": "701-894-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S COLUMBIA RD",
            "address_2": "J.C. PENNEY OPTICAL-COLUMBIA MALL",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016076",
            "telephone_number": "701-746-4810",
            "fax_number": "701-746-9260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "SOPHIA",
        "middle_name": "NMI",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60525",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "SWEDBERG",
            "middle_name": "NMI",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vanessa Sundeen, FNP-C
• Hayley J Svedjan, MD
• Wendi Ann Swangler
• Colleen M Swank, MD
• Deborah Swanson, M.S. CCC SLP
• Steven Bradley Swanson, DDS
• Sweet Dreams Anesthesia PLLC
• Garret Swenson, D.C.
• Sheila Swenson, D.C.
• Jessica Swingen, AGNP

• Optometrist in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Optometrist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; 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.