Provider Demographics
NPI:1760554729
Name:SWENBY, BETSY FRANCES (OD)
Entity Type:Individual
Prefix:DR
First Name:BETSY
Middle Name:FRANCES
Last Name:SWENBY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 BOSTON POST RD STE 10A
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2733
Mailing Address - Country:US
Mailing Address - Phone:203-458-1900
Mailing Address - Fax:203-458-2300
Practice Address - Street 1:705 BOSTON POST RD STE 10A
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2733
Practice Address - Country:US
Practice Address - Phone:203-458-1900
Practice Address - Fax:203-458-2300
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002576152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAU87837Medicare UPIN
MA410001085Medicare ID - Type Unspecified