Provider Demographics
NPI:1801397765
Name:SWARINGEN, MEGAN B (OD)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:B
Last Name:SWARINGEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:48 BOONE TRL
Mailing Address - Street 2:
Mailing Address - City:NORTH WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28659-3515
Mailing Address - Country:US
Mailing Address - Phone:336-667-3288
Mailing Address - Fax:336-838-1092
Practice Address - Street 1:48 BOONE TRL
Practice Address - Street 2:
Practice Address - City:NORTH WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659-3515
Practice Address - Country:US
Practice Address - Phone:336-667-3288
Practice Address - Fax:336-838-1092
Is Sole Proprietor?:No
Enumeration Date:2018-02-26
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2513152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist