Fred R. Swann, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0985DT Issued in KY

Practice address

809 N 12TH St
Murray, KY 42071-1648

Phone

(270) 753-4101

Fax

(270) 753-7467

NPI assigned

Dec 21, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261353600000",
    "number": "1992034045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 N 12TH ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420711648",
            "telephone_number": "270-753-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N 12TH ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420711648",
            "telephone_number": "270-753-4101",
            "fax_number": "270-753-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANN",
        "first_name": "FRED",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-21",
        "last_updated": "2009-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "0985DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Summers, RD, LD
• Vanessa Brooke Sumner
• Brandon Swaggart, LPCC
• Brian Tau Swain, MD
• Christie Alene Swann, VI
• Kevin Swartz
• Mary Polivick Swartz, P.T.
• Cherishe Tabers, BS, EDU
• Tarragon Emergency Physicians, LLC
• Taylor Family Dental, PLLC

• Optometrist in Murray, KY
• Providers in Murray, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.