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DR. EDMUND SWAN O.D.
NPI 1285049304
Optometrist in Rocky Hill, CT

Active since June 26, 2014PECOS Enrolled
38 TOWN LINE RD, ROCKY HILL, CT 06067(860) 785-8176 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 15, 2022, Jul 13, 2018 (2 updates tracked since 2018).

About Dr. Edmund Swan O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDMUND SWAN O.D. (NPI 1285049304) is an individual optometrist in Rocky Hill, Connecticut, licensed in Connecticut (2917) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (2014).

NPPES Registry Identity

NPI1285049304
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. EDMUND SWANCredential: O.D.
Location Address38 TOWN LINE RDRocky Hill, CT 06067
Mailing Address38 Town Line Rd Ste 3Rocky Hill, CT 06067-1200 · (860) 785-8176 · Fax (860) 785-8376
Phone(860) 785-8176
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2014
Enumeration DateJune 26, 2014
Last NPPES UpdateJuly 15, 20222 updates tracked since enumeration
NPPES CertifiedJuly 15, 2022
✔ NPI 1285049304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CT · 2917
Definition
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.
38 TOWN LINE RD, Rocky Hill, CT 06067
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Edmund Swan O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325353410
PECOS Enrollment IDI20150819006799
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Edmund Swan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Swan Vision
Same address
Optometrist
38 TOWN LINE RD STE 3
Rocky Hill, CT 06067
  • Reassigned Medicare billing, Connecticut enrollment
  • 2 clinicians in this Medicare group
NPI 1275023947 (860) 785-8176

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHRYN SWAN OD
Optometrist
38 TOWN LINE RD
ROCKY HILL, CT 06067
Capitol Planning Region (860) 785-8176

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edmund Swan's NPI number?

The NPI number for Edmund Swan is 1285049304. It was assigned to this individual provider in the NPPES registry on June 26, 2014.

Where is Edmund Swan located?

Edmund Swan practices at 38 Town Line Rd, Rocky Hill, CT 06067. The listed phone number is (860) 785-8176.

What is Edmund Swan's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Edmund Swan enrolled in Medicare?

Yes. Edmund Swan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edmund Swan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edmund Swan reassigns Medicare benefits to Swan Vision (Rocky Hill, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edmund Swan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edmund Swan accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Edmund Swan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edmund Swan was last updated on July 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.