Provider Demographics
NPI:1700901360
Name:SWIKARD, IOANA M (OD)
Entity Type:Individual
Prefix:DR
First Name:IOANA
Middle Name:M
Last Name:SWIKARD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:665 SAN RODOLFO DR
Mailing Address - Street 2:STE 119
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-2047
Mailing Address - Country:US
Mailing Address - Phone:858-793-1550
Mailing Address - Fax:
Practice Address - Street 1:665 SAN RODOLFO DR
Practice Address - Street 2:STE 119
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-2047
Practice Address - Country:US
Practice Address - Phone:858-793-1550
Practice Address - Fax:858-793-1550
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA9860 T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAEB786ZMedicare PIN