Individual provider

Anthony Swanholm, OD

Optometrist Medicare enrolled

Anthony Swanholm, OD is a provider specialising in Optometrist in Covington, KY, registered under NPI 1609228089.

Getting there

The practice address on file is 1500 JAMES SIMPSON JR WAY, Covington, KY 41011. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1500 JAMES SIMPSON JR WAY, Covington, KY 41011 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2057DT KY Optometrist primary
OPT.006714 OH Optometrist

Licences are recorded in 2 states: KY, OH. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Optometry
PAC ID
1951695451

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Michigan I20160805001549 Practitioner - Optometry
Kentucky I20170719000500 Practitioner - Optometry

Medicare enrolment is recorded as approved under the provider type Practitioner - Optometry. There are 2 separate enrolment records across 2 states (MI, KY). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: Kentucky and Ohio. The practice address on file is in Covington, KY, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

KY Kentucky practice address
Licence
2057DT
Specialty
Optometrist
Verify with the KY board →
OH Ohio
Licence
OPT.006714
Specialty
Optometrist
Verify with the OH board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Optometrist covers

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. NUCC Health Care Provider Taxonomy, code 152W00000X
Eye and Vision Services Providers Optometrist

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
152W00000X Optometrist 2057DT KY primary
152W00000X Optometrist OPT.006714 OH

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1609228089 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 8, 2016
Last updatedApr 19, 2021
StatusActive
Sole proprietorNo
CredentialOD
Practice address 1500 JAMES SIMPSON JR WAY
Covington, KY 41011
(859) 655-3111
Fax (859) 655-3110
Mailing address PO BOX 635283
Cincinnati, OH 45263
The last update on file is Apr 19, 2021. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1609228089 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 0 9 2 2 8 0 8
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 0 9 4 2 7 0 7

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1609228089?
NPI 1609228089 is the National Provider Identifier assigned to Anthony Swanholm, OD in Covington, KY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Optometrist cover?
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed…
How do I contact Anthony Swanholm, OD?
The phone number on file with NPPES is (859) 655-3111, last updated Apr 19, 2021. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Anthony Swanholm, OD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1609228089 a valid number?
Yes. 1609228089 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.