Swan Optometry Services, PC

NPI #1124338736 in Rockford, Michigan

Provider Information

NPI Number: 1124338736
Entity Type: Organization
Organization Name: Swan Optometry Services, PC
Primary Specialty: Optometrist
Enumeration Date: Oct 15, 2010
Last Updated: Sep 9, 2016

Practice Location

Address: 25 N MAIN ST
City: Rockford
State: Michigan
ZIP Code: 49341-1281
Phone: (616) 866-3077

Authorized Official

Name: MARK SWAN, OD, MED
Title: OWNER
Phone: (616) 866-3077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Pediatrics — Pediatrics	152WP0200X
Optometrist	152W00000X	Primary

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