Provider Demographics
NPI:1265610703
Name:SWENSON, NORMA-ANN G (OD)
Entity type:Individual
Prefix:DR
First Name:NORMA-ANN
Middle Name:G
Last Name:SWENSON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:1388 MINERAL SPRING AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-4649
Mailing Address - Country:US
Mailing Address - Phone:401-353-3230
Mailing Address - Fax:401-353-5323
Practice Address - Street 1:1543 SMITH ST
Practice Address - Street 2:
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02911-2943
Practice Address - Country:US
Practice Address - Phone:401-353-3230
Practice Address - Fax:401-353-5323
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIODTG00506152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist