Swanson, Chris Paul
Swanson, Chris Paul is an individual health care provider with primary practice located at 4250 Nw Cache Rd , Lawton OK 73505-3606. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Swanson, Chris Paul can be contacted via phone (580) 248-0061.Contact Information
Primary practice address
4250 Nw Cache Rd
Lawton OK 73505-3606
Phone: (580) 248-0061
Fax: (580) 248-0074
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 2288 | Oklahoma |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2288 | Oklahoma |
Profile Details
NPI number | 1376587154 |
---|---|
LBN Legal business name | Swanson, Chris Paul |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 15th, 2006 |
Last updated | Sep 16th, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376587154 | NPPES |
Oklahoma | Other | 24432801 | MEDICARE PTAN |
Oklahoma | MEDICAID | 100766270A | MEDICARE PTAN |
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