Individual provider Active NPI

Mark Swanson, O.D.

  • Optometrist
  • Birmingham, AL
National Provider Identifier
1942213251
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S593TA168 Issued in AL
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

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000059978MedicaidAL
51059988OtherALBCBS
T69085OtherALVIVA
000059988MedicaidAL
51059978OtherALBCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100923000545 AL Practitioner - Optometry 5092831453 Reassigns benefits to 2 organizations

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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S593TA168ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Eye Care, LLC Optometrist CurrentSince Sep 3, 2025 Accepting new patients
University of Alabama at Birmingham Current Accepting new patients
University of Alabama at Birmingham Optometrist CurrentSince Aug 1, 2012 Accepting new patients
University of Alabama at Birmingham CurrentSince Aug 1, 2012 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.

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

Verify at the official NPI Registry.