Individual
DR. NICOLE LYNN SWIGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1819 E GENEVA ST, DELAVAN, WI 53115-2037
(262) 740-7213
(262) 740-7226
Mailing address
1819 E GENEVA ST, DELAVAN, WI 53115-2037
(262) 740-7213
(262) 740-7226
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046-010529
IL
152W00000X
Optometrist
Primary
3321-35
WI
152W00000X
Optometrist
OPC4491
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046-010529
OPTOMETRY LICENSE
IL
01
—
3321-35
OPTOMETRY LICENSE
WI
01
—
OPC4491
FLORIDA LICENSE
FL
Enumeration date
09/24/2009
Last updated
05/15/2025
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