Individual
KRISTA L SWENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
133 W MAIN ST, GREENVILLE, OH 45331
(937) 548-6111
(937) 548-0893
Mailing address
133 W MAIN ST, GREENVILLE, OH 45331-1401
(937) 548-6111
(937) 548-0893
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5454T2366
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000365733
ANTHEM
OH
01
—
2202589
UNITED HEALTH CARE
—
01
—
A003
TRI CARE FOR LIFE
—
Enumeration date
12/14/2005
Last updated
08/01/2012
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