Active NPI
Mark Swanson, O.D.
- Optometrist
- Birmingham, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S593TA168
- Practice address
- 1716 University Blvd
HPB G080A
Birmingham, AL 35294-0001 - Phone
- (205) 975-2020
- Fax
- (205) 934-6755
- NPI assigned
- Aug 15, 2006
- 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 | S593TA168 | AL | Primary |
Addresses
Primary practice location
1716 University Blvd
HPB G080A
Birmingham, AL 35294-0001
Mailing address
1716 University Blvd
HPB G080A
Birmingham, AL 35294-0001
Phone (205) 975-2020
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000059978 | Medicaid | AL | |
| 51059988 | Other | AL | BCBS |
| T69085 | Other | AL | VIVA |
| 000059988 | Medicaid | AL | |
| 51059978 | Other | AL | BCBS OF ALABAMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- 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
- University Alabama Birmingham - School of Optometry, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
619 19TH St S
Birmingham, AL 35233-0001
Phone (205) 934-6405
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S593TA168 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aria Eye Care, LLC | Optometrist | Current | Accepting new patients |
| University of Alabama at Birmingham | Current | Accepting new patients | |
| University of Alabama at Birmingham | Optometrist | Current | Accepting new patients |
| University of Alabama at Birmingham | Current | Accepting new patients | |
| The University of Alabama at Birmingham | Optometrist | Past | Accepting new patients |
| University of Alabama at Birmingham | Past | Accepting new patients |
Locations
619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405
1701 9th Ave S
Birmingham, AL 35205
Phone (205) 934-5161
1530 3rd Ave S
Birmingham, AL 35294
Phone (205) 934-3398
1716 University Blvd
#80A
Birmingham, AL 35233
1716 University Blvd
Birmingham, AL 35233
Phone (205) 934-3899
1720 University Blvd
Ste 300
Birmingham, AL 35233
1716 University Blvd
#G80A
Birmingham, AL 35233
Phone (205) 934-4748
211 Ana Dr
Florence, AL 35630
Phone (256) 760-9942
Organizations & group practices 6
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.
-
dba UAB Health Center Montgomery
- Internal Medicine Physician
- Montgomery, AL
- NPI 1184738478
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1447145818
-
dba University Optometric Group
- Optometrist
- Birmingham, AL
- NPI 1780791376
-
dba UAB Emergency Department
- Emergency Medicine Physician
- Birmingham, AL
- NPI 1407837750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1942213251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1716 UNIVERSITY BLVD",
"address_2": "HPB G080A",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352940001",
"telephone_number": "205-975-2020",
"fax_number": "205-934-6755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1716 UNIVERSITY BLVD",
"address_2": "HPB G080A",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352940001",
"telephone_number": "205-975-2020",
"fax_number": "205-934-6755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-15",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S593TA168",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000059978",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51059988",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIVA",
"identifier": "T69085",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000059988",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA",
"identifier": "51059978",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.