DR. MIRA B SWIECICKI (NPI# 1689639023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689639023 |
| Entity Type | Individual |
| Full Name | DR. MIRA B SWIECICKI |
| Credential | O.D. |
| Practice Address |
201 S 19th St Lynden WA 98264-1725 |
| Practice Telephone | 3603542222 |
| Practice Fax Number | 3603540737 |
| Mailing Telephone | 3603542222 |
| Mailing Fax Number | 3603540737 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2013-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 3271TX | WA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE BLUE SHIELD | 6524SW | 01 |
| WA | MEDICARE ID-PIN | G8851040 | 01 |
| WA | LABOR & INDUSTRIES | 0108450 | 01 |
| WA | RAILROAD MEDICARE-PALMETT | P00190648 | 01 |
| WA | 2019891 | 05 |
| Street Address |
201 S 19TH ST |
| City | LYNDEN |
| State | WA |
| Zip Code | 98264-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427268754 | Lynden Vision Clinic, Ps | Optometrist | 201 S 19th St, Lynden, WA 98264-1725 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760041412 | Family Care Network, Pllc | Family Medicine | 1610 Grover St., Ste. D-1, Lynden, WA 98264 | 2019-06-06 |
| 1619499753 | David Michael Grambo | Physical Therapist | 8862 Bender Rd #101, Lynden, WA 98264 | 2017-07-11 |
| 1144778317 | Shawn Hofing | Counselor | 709 Front St, Lynden, WA 98264 | 2016-09-16 |
| 1295151900 | Duane Korthuis | Specialist/Technologist | 1201 Bradley Rd., Lynden High School, Lynden, WA 98264 | 2014-03-06 |
| 1255649869 | James Kimo Jandoc | Physical Medicine & Rehabilitation | 1610 Grover St Ste C3, Lynden, WA 98264 | 2010-09-16 |
| 1417288101 | Amanda Shannon | Counselor | 506 Grover St Ste 112, Lynden, WA 98264 | 2010-01-20 |
| 1033349048 | Brenda Jean Jensen | Massage Therapist | 104 Grover St, Lynden, WA 98264 | 2009-07-24 |
| 1295980704 | Jeannett M. Penner | Physical Therapist | 8862 Bender Road, Suite 101, Lynden, WA 98264 | 2008-11-25 |
| 1992917884 | Olson Family Chiropractic, Inc | Chiropractor | 8304 Guide Meridian Rd., Lynden, WA 98264 | 2007-05-04 |
| 1477678209 | Lynden Family Chiropractic LLC | Chiropractor | 105-5th Street, Suite 105, Lynden, WA 98264 | 2007-03-20 |
| Find all providers in zip 98264 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538423223 | John Mcgiffin | Optometrist | 1824 Front St, Suite B, Lynden, WA 98264-1729 | 2012-06-27 |
| 1205121159 | Vision Plus In Lynden | Optometrist | 1824 Front St, Suite B, Lynden, WA 98264-1729 | 2011-06-17 |
| 1427268754 | Lynden Vision Clinic, Ps | Optometrist | 201 S 19th St, Lynden, WA 98264-1725 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215544101 | Destiny Nicole Mccoy | Optometrist | 19400 108th Ave Se Ste 202, Kent, WA 98031-0108 | 2020-09-25 |
| 1598370371 | Optometry Medical Group Inc | Optometrist | 1721 22nd Ave, Seattle, WA 98122-3324 | 2020-09-09 |
| 1962011320 | Kristine Marie Hackett | Optometrist | 19301 Se 34th St Ste 104, Camas, WA 98607-8881 | 2020-07-30 |
| 1245857044 | Minha Lee | Optometrist | 1468 158th Pl Ne, Bellevue, WA 98008-2782 | 2020-06-29 |
| 1437774734 | Vision Plus of Barkley Pllc | Optometrist | 2900 Woburn St Ste 101, Bellingham, WA 98226-3865 | 2020-06-11 |
| 1558985671 | Tiffany Lundberg | Optometrist | 2010 W Lincoln Ave Ste 1, Yakima, WA 98902-2413 | 2020-06-04 |
| 1801423041 | Jayeon Vision | Optometrist | 13909 Meridian E Ste A3, Puyallup, WA 98373-9180 | 2020-03-26 |
| 1124653464 | James Phelan | Optometrist | 14 N. Vernon Ave., Deer Park, WA 99006 | 2020-03-06 |
| 1942832845 | Trinity Vision Pllc | Optometrist | 4750 N Division St Ste 282, Spokane, WA 99207-1433 | 2020-02-07 |
| 1104464536 | Washington Eyes, LLC | Optometrist | 5011 W Lowell Ave Ste 120, Spokane, WA 99208-8587 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MIRA B SWIECICKI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.