Individual
DR. MARK SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1716 UNIVERSITY BLVD, HPB G080A, BIRMINGHAM, AL 35294-0001
(205) 975-2020
(205) 934-6755
Mailing address
1716 UNIVERSITY BLVD, HPB G080A, BIRMINGHAM, AL 35294-0001
(205) 975-2020
(205) 934-6755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S593TA168
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000059978
—
AL
05
—
000059988
—
AL
01
—
51059978
BCBS OF ALABAMA
AL
01
—
51059988
BCBS
AL
01
—
T69085
VIVA
AL
Enumeration date
08/15/2006
Last updated
06/29/2010
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