MEDICARE: MATTHEW SWANIC M D PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	13823	NV

General Provider Information

NPI Number	:	1003251950
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MATTHEW SWANIC M D PLLC

Provider Business Mailing Address
First Line	:	9555 S EASTERN AVE STE 260
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-8008
Country	:	US
Telephone Number	:	702-816-2525
Fax Number	:	702-586-3562

Provider Business Practice Location Address
First Line	:	9555 S EASTERN AVE STE 250
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89123-8008
Country	:	US
Telephone Number	:	702-769-4643
Fax Number	:	702-736-9334

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MATTHEW JOHN SWANIC
Credential	:	M D
Telephone Number	:	702-816-2525

Provider Enumeration Date	:	05/06/2013
Last Update Date	:	01/23/2023

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