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:
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Health care specialties

SpecialtyCodeLicense #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 11 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 1376587154 NPPES
Oklahoma Other 24432801 MEDICARE PTAN
Oklahoma MEDICAID 100766270A MEDICARE PTAN

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