Provider Demographics
NPI:1922668342
Name:SWANIGER, RACHEL HILLARY (OD)
Entity Type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:HILLARY
Last Name:SWANIGER
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 1:512 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06451-2758
Mailing Address - Country:US
Mailing Address - Phone:203-235-2015
Mailing Address - Fax:203-238-1432
Practice Address - Street 1:512 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06451-2758
Practice Address - Country:US
Practice Address - Phone:203-910-1326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH994152W00000X
CT3143152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist