Active NPI
Alan Franklin Swinehart, O.D.
- Optometrist
- Orange Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC 002128
- 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
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 | 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
Enrollment records 1
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
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 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC 002128 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris Wilcox and Donovan PA | Optometrist | Current | Accepting new patients |
| Harris Wilcox and Donovan PA | Current | 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.
-
- Ophthalmology Physician
- Middleburg, FL
- NPI 1659963205
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.