Swanson, Thomas R

Swanson, Thomas R is an individual health care provider with primary practice located at 1821 Douglas Blvd Suite C4, Roseville CA 95661-2910. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Swanson, Thomas R can be contacted via phone (916) 786-6633.

Contact Information

Primary practice address
1821 Douglas Blvd Suite C4 Roseville CA 95661-2910
Phone: (916) 786-6633
Fax: (916) 786-6617
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 06570TPL California

Profile Details

NPI number 1598735912
LBN Legal business name Swanson, Thomas R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Dec 7th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1598735912 NPPES
California Other DE3871 RAILROAD MEDICARE
California Other P00289444 RAILROAD MEDICARE
California MEDICAID SD0065700 RAILROAD MEDICARE
California Other OPT 6570 TPL RAILROAD MEDICARE
California Other SD0065700 RAILROAD MEDICARE

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