Healthcare Provider Details

I. General information

NPI: 1649266131
Provider Name (Legal Business Name): KAREN SWEARINGEN OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9360 NAVARRE PKWY WALMART VISION CENTER
NAVARRE FL
32566-2910
US

IV. Provider business mailing address

9360 NAVARRE PKWY WALMART VISION CENTER
NAVARRE FL
32566-2910
US

V. Phone/Fax

Practice location:
  • Phone: 850-939-0947
  • Fax: 850-939-3447
Mailing address:
  • Phone: 850-939-0947
  • Fax: 850-939-3447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License NumberOPC2733
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: