Provider Demographics
NPI:1013060763
Name:SWAIM, JULI ANNE (OD)
Entity Type:Individual
Prefix:DR
First Name:JULI
Middle Name:ANNE
Last Name:SWAIM
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1116 CROSSROADS DR
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28625-8277
Mailing Address - Country:US
Mailing Address - Phone:704-872-0616
Mailing Address - Fax:704-872-6494
Practice Address - Street 1:1116 CROSSROADS DR
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28625-8277
Practice Address - Country:US
Practice Address - Phone:704-872-0616
Practice Address - Fax:704-872-6494
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1676152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
25728OtherPARTNERS
410035871OtherMEDICARE RR
NCNC1676OtherEYEMED
0915VOtherBLUE CROSS BLUE SHIELD
NC61378OtherOPTUM/SPECTERA/UNITED HEALTHCARE
NC890915VMedicaid
NC61378OtherOPTUM/SPECTERA/UNITED HEALTHCARE
U70094Medicare UPIN