Swan, Tara

Swan, Tara is an individual health care provider with primary practice located at 1815 State St , Watertown NY 13601-9407. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Swan, Tara can be contacted via phone (315) 786-8064.

Contact Information

Primary practice address
1815 State St Watertown NY 13601-9407
Phone: (315) 786-8064
Fax: (315) 788-1950
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 009466 New York

Profile Details

NPI number 1205296191
LBN Legal business name Swan, Tara
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2016
Last updated Mar 4th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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