Individual
DR. CHRIS PAUL SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4250 NW CACHE RD, LAWTON, OK 73505-3606
(580) 248-0061
(580) 248-0074
Mailing address
4250 NW CACHE RD, LAWTON, OK 73505-3606
(580) 248-0061
(580) 248-0074
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2288
OK
152WC0802X
Corneal and Contact Management Optometrist
2288
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100766270A
—
OK
01
—
24432801
MEDICARE PTAN
OK
Enumeration date
06/15/2006
Last updated
09/16/2015
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