Provider Demographics
NPI:1760175103
Name:SWARTZ, DARLENE MICHELLE (DO00001945)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:MICHELLE
Last Name:SWARTZ
Suffix:
Gender:F
Credentials:DO00001945
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 N WENATCHEE AVE
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-1056
Mailing Address - Country:US
Mailing Address - Phone:509-665-9323
Mailing Address - Fax:509-665-8822
Practice Address - Street 1:2000 N WENATCHEE AVE
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-1056
Practice Address - Country:US
Practice Address - Phone:509-665-9323
Practice Address - Fax:509-665-8822
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADO00001945156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician