Provider Demographics
NPI:1003251950
Name:MATTHEW SWANIC M D PLLC
Entity Type:Organization
Organization Name:MATTHEW SWANIC M D PLLC
Other - Org Name:LAS VEGAS EYE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SWANIC
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:702-816-2525
Mailing Address - Street 1:9555 S EASTERN AVE STE 260
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89123-8008
Mailing Address - Country:US
Mailing Address - Phone:702-816-2525
Mailing Address - Fax:702-586-3562
Practice Address - Street 1:9555 S EASTERN AVE STE 250
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-8008
Practice Address - Country:US
Practice Address - Phone:702-769-4643
Practice Address - Fax:702-736-9334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-06
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV13823207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty