Active NPI
Amy Marie Farrall, O.D.
- Optometrist
- Newark, DE
National Provider Identifier
1154496149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- I3-0001238
- Practice address
- 317 E Main St
Newark, DE 19711-7152 - Phone
- (302) 737-5777
- Fax
- (302) 737-0142
- NPI assigned
- Nov 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | I3-0001238 | DE | Primary |
Addresses
Primary practice location
317 E Main St
Newark, DE 19711-7152
Mailing address
317 E Main St
Newark, DE 19711-7152
Phone (302) 737-5777
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0483709 | Other | DE | AETNA HMO |
| 27415 | Other | DE | COVENTRY HEALTHCARE OF DE |
| 0000594145 | Medicaid | DE | |
| 4517150 | Other | DE | AETNA, INC. |
| 510362254 | Other | DE | BLUECROSS BLUESHIELD DE |
| 510362254 0001 | Other | DE | CIGNA HEALTHCARE |
| 510362254 19711 A001 | Other | DE | TRICARE NORTH REGION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080325000684 | DE | Practitioner - Optometry | 8426134883 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
317 E Main St
Newark, DE 19711-7152
Phone (302) 737-5777
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 14 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I3-0001238 | DE | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy M Farrall OD LLC | Optometrist | Current | Accepting new patients |
| Amy M Farrall OD LLC | Optometrist | Past | Accepting new patients |
Locations
317 E Main St
Newark, DE 19711
Phone (302) 737-5777
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Newark, DE
- NPI 1841334182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214870400000",
"number": "1154496149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 E MAIN ST",
"city": "NEWARK",
"state": "DE",
"postal_code": "197117152",
"telephone_number": "302-737-5777",
"fax_number": "302-737-0142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 E MAIN ST",
"city": "NEWARK",
"state": "DE",
"postal_code": "197117152",
"telephone_number": "302-737-5777",
"fax_number": "302-737-0142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARRALL",
"first_name": "AMY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-22",
"last_updated": "2008-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "DE",
"license": "I3-0001238",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "0483709",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY HEALTHCARE OF DE",
"identifier": "27415",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000594145",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA, INC.",
"identifier": "4517150",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD DE",
"identifier": "510362254",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "510362254 0001",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE NORTH REGION",
"identifier": "510362254 19711 A001",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.