Individual
BRENT PAUL SWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2150 EWING CRAWFIS CIR, BELLEFONTAINE, OH 43311-9042
(937) 593-1766
(937) 593-1557
Mailing address
2150 EWING CRAWFIS CIR, BELLEFONTAINE, OH 43311-9042
(937) 593-1766
(937) 593-1557
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4596
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0194856
—
OH
01
—
5251050001
DMERC
OH
Enumeration date
12/18/2006
Last updated
03/25/2008
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