Individual provider Active NPI

Amy Marie Farrall, O.D.

  • Optometrist
  • Newark, DE
National Provider Identifier
1154496149
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I3-0001238 Issued in DE
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

Updated by the provider on Jul 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0483709OtherDEAETNA HMO
27415OtherDECOVENTRY HEALTHCARE OF DE
0000594145MedicaidDE
4517150OtherDEAETNA, INC.
510362254OtherDEBLUECROSS BLUESHIELD DE
510362254 0001OtherDECIGNA HEALTHCARE
510362254 19711 A001OtherDETRICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Cataract surgery14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I3-0001238DEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Amy M Farrall OD LLC Optometrist CurrentSince Aug 21, 2007 Accepting new patients
Amy M Farrall OD LLC Optometrist PastSince Aug 21, 2007 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.

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

Verify at the official NPI Registry.