Provider Demographics
NPI:1578723052
Name:DR. DOUGLAS SWINDELL & ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:DR. DOUGLAS SWINDELL & ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:K
Authorized Official - Last Name:SWINDELL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:303-856-5957
Mailing Address - Street 1:1281 E 120TH AVE
Mailing Address - Street 2:SUITE A/B
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80233-5730
Mailing Address - Country:US
Mailing Address - Phone:303-255-1785
Mailing Address - Fax:720-929-0489
Practice Address - Street 1:1281 E 120TH AVE
Practice Address - Street 2:SUITE A/B
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-5730
Practice Address - Country:US
Practice Address - Phone:303-255-1785
Practice Address - Fax:720-929-0489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-10
Last Update Date:2013-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1974152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty