Individual provider Active NPI

Alan Franklin Swinehart, O.D.

  • Optometrist
  • Orange Park, FL
National Provider Identifier
1891876314
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 002128 Issued in FL
Practice address
661 Blanding Blvd
Wal Mart Vision Center
Orange Park, FL 32073-5048
Phone
(904) 276-1962
Fax
(904) 276-1608
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 002128 FL Primary

Addresses

Primary practice location

661 Blanding Blvd
Wal Mart Vision Center
Orange Park, FL 32073-5048

Mailing address

2535 Begonia Dr
Middleburg, FL 32068-5604
Phone (904) 282-9597

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20220204001571 FL Practitioner - Optometry 9335532837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harris Wilcox and Donovan PAGroup PAC ID 4981776333, 17 clinicians

Practice addresses (Care Compare)

2023 Professional Ctr Dr
Orange Park, FL 32073-4472
Phone (904) 272-2020

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 002128FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Wilcox and Donovan PA Optometrist CurrentSince Feb 1, 2023 Accepting new patients
Harris Wilcox and Donovan PA CurrentSince Feb 1, 2023 Accepting new patients

Locations

1855 Eastwest Pkwy
Fleming Isle, FL 32003

11790 San Jose Blvd
Jacksonville, FL 32223
Phone (904) 765-2020

1658 St Vincents Way
Ste 250
Middleburg, FL 32068
Phone (703) 969-6229

2023 Professional Center Dr
Orange Park, FL 32073
Phone 9042722020234

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891876314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 BEGONIA DR",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320685604",
            "telephone_number": "904-282-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 BLANDING BLVD",
            "address_2": "WAL MART VISION CENTER",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735048",
            "telephone_number": "904-276-1962",
            "fax_number": "904-276-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINEHART",
        "first_name": "ALAN",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 002128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.