Provider Demographics
NPI:1487618187
Name:SWINKER, MARGARET JANE (OD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:JANE
Last Name:SWINKER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 THORNTON RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:BROWNSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15417-9607
Mailing Address - Country:US
Mailing Address - Phone:724-785-5656
Mailing Address - Fax:724-785-6062
Practice Address - Street 1:111 THORNTON RD
Practice Address - Street 2:SUITE A
Practice Address - City:BROWNSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15417-9607
Practice Address - Country:US
Practice Address - Phone:724-785-5656
Practice Address - Fax:724-785-6062
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-12
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000384152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0008721750001Medicaid
T30020Medicare UPIN
PA0008721750001Medicaid
PA0155210001Medicare NSC