BRAZOS EYE SURGERY OF TEXAS
NPI 1285816850
Ophthalmology in Waco, TX

Active since December 05, 2007CLIA 45D2055860 · Waiver
201 LONDONDERRY DR, WACO, TX 76712(254) 772-4499(254) 772-4436 Get Directions Write a Review

NPPES record last updated: October 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brazos Eye Surgery Of Texas NPPES

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

BRAZOS EYE SURGERY OF TEXAS (NPI 1285816850) is a healthcare organization registered as an ophthalmology in Waco, Texas and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through March 17, 2027 and lists Shaye J Wooten, Insurance Billing, as its authorized official.

NPPES Registry Identity

NPI1285816850
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameRUSSELL E SWANN M.D. PA
Location Address201 LONDONDERRY DRWaco, TX 76712-7902
Mailing Address201 Londonderry DrWaco, TX 76712-7902 · (254) 772-4499 · Fax (254) 772-4436
Fax(254) 772-4436
Organization SubpartNo
Authorized OfficialShaye J WootenInsurance Billing · (254) 772-4499
Enumeration DateDecember 5, 2007
Last NPPES UpdateOctober 23, 2012
NPI 1285816850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · E5626
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
201 LONDONDERRY DR, Waco, TX 76712

Other Names 1

Doing Business AsBrazos Eye Surgery Of Texas

Other Identifiers 9

Medicaid085656902TX
Other1477717759TX · Npi
Medicare UPINB26798TX
Other1619130895TX · Npi
OtherDC9834TX · Rr Medicare Pin
Medicare NSC0477270001TX
Other1073518072TX · Npi
Other1841293016Npi
Medicare PIN00U43UTX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2055860

Russell E Swann, PA D/B/A Brazos Eye Surgery Of Texas · Waco, TX
Active · expires Mar 17, 2027
CLIA Number45D2055860
Laboratory TypePhysician Office
Certificate Effective DateMarch 18, 2025
Certificate Expiration DateMarch 17, 2027
Laboratory DirectorForrest B. Swann
Laboratory Phone(254) 772-4499
Laboratory LocationRussell E Swann, PA D/B/A Brazos Eye Surgery Of Texas201 Londonderry, Waco, TX 76712
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Ophthalmology (Cornea and External Diseases Specialist)
201 LONDONDERRY DR
WACO, TX 76712
Ophthalmology
201 LONDONDERRY DR
WACO, TX 76712

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 Russell E Swann M.D. PA's NPI number?

The NPI number for Russell E Swann M.D. PA is 1285816850. It was assigned to this organization in the NPPES registry on December 5, 2007. The provider is doing business as Brazos Eye Surgery Of Texas.

Where is Russell E Swann M.D. PA located?

Russell E Swann M.D. PA is located at 201 Londonderry Dr, Waco, TX 76712. The listed phone number is (254) 772-4499.

What is Russell E Swann M.D. PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Russell E Swann M.D. PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2055860) is associated with this NPI, valid through March 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Russell E Swann M.D. PA accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Russell E Swann M.D. PA 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 Russell E Swann M.D. PA was last updated on October 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.