Taylor Jay Swanson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3509 Issued in MN

Practice address

506 Laurel St
Brainerd, MN 56401-3526

Phone

(218) 829-0946

NPI assigned

Apr 12, 2016

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brainerd Eyecare Center, PAGroup PAC ID 3870691074, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Brainerd Eyecare Center, PA

  • Optometrist
  • Brainerd, MN
  • NPI 1942351002
  Medicare reassignment Care Compare group NPD
• S Sjoberg PLC

  dba Great River Eye Clinic

  • Health Service Clinic/Center
  • Crosby, MN
  • NPI 1023424926

  Optometrist

  Medicare reassignment NPD
• Brainerd Eyecare Center, PA

  • Optician
  • Brainerd, MN
  • NPI 1871856229

  Optometrist

  NPD
• S Sjoberg PLC

  • Ophthalmology Physician
  • Baxter, MN
  • NPI 1477961019

  Optometrist

  NPD

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1881058196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 3RD AVE NE",
            "city": "CROSBY",
            "state": "MN",
            "postal_code": "564411665",
            "telephone_number": "218-546-5108",
            "fax_number": "218-546-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 LAUREL ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013526",
            "telephone_number": "218-829-0946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7636 Design Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Baxter",
            "state": "MN",
            "postal_code": "564258678",
            "country_code": "US",
            "telephone_number": "218-825-1976",
            "fax_number": "218-828-9869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 3rd Ave NE",
            "address_purpose": "LOCATION",
            "city": "Crosby",
            "state": "MN",
            "postal_code": "564411665",
            "country_code": "US",
            "telephone_number": "218-546-5108",
            "fax_number": "218-546-5736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "TAYLOR",
        "middle_name": "JAY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supervalu Pharmacies Inc (Cub Pharmacy)
• Jennifer L. Svihel, M.S.
• Karie Lynn Svoboda, LPCC
• Brooke Ann Swanson, MS, LPCC
• Carrie Ann Swanson, WHNP
• Katie Jene Garrey Swenson, MS, LPCC
• Jessica Tabatt, D.P.M.
• Philip B Tange, MSW
• Natasha N Tanner
• Tyra Lee Taylor, MSW, LICSW

• Optometrist in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Optometrist in Minnesota

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.