Organization Active NPI

Swofford Eye Services, P.C.

  • Optometrist
  • Buford, GA
National Provider Identifier
1962754044
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
GA1214 Issued in GA
Legal business name
SWOFFORD EYE SERVICES, P.C.
Practice address
4420 Nelson Brogdon Blvd
Buford, GA 30518-3477
Phone
(770) 932-9656
Fax
(770) 932-6606
NPI assigned
Oct 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Dr. David Layne Swofford, O.D.NPI 1649342239
Title
Ceo
Phone
(770) 932-9656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X GA1214 GA Primary

Addresses

Primary practice location

4420 Nelson Brogdon Blvd
Buford, GA 30518-3477

Mailing address

4420 Nelson Brogdon Blvd
Buford, GA 30518-3477
Phone (770) 932-9656

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121128000247 GA Part B Supplier - Clinic/Group Practice 5799937694 Receives reassigned benefits from 1 practitioner
Practice locations: Buford, GA

National Provider Directory

National Provider Directory

Locations

4420 Nelson Brogdon Blvd
Buford, GA 30518
Phone (770) 932-9656

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1962754044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 NELSON BROGDON BLVD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183477",
            "telephone_number": "770-932-9656",
            "fax_number": "770-932-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 NELSON BROGDON BLVD",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305183477",
            "telephone_number": "770-932-9656",
            "fax_number": "770-932-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWOFFORD EYE SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "SWOFFORD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-932-9656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA1214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.