Robert Farrell
Organization Active NPI Optometrist · Dinuba, CA
NPI 1174990477 · NPPES record last updated Aug 21, 2015
Key facts
- NPI
- 1174990477
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- CA6025T (CA)
- Legal business name
- ROBERT FARRELL
- Practice address
- 119 S L St
Dinuba, CA 93618-2324 - Phone
- (559) 591-4656
- Fax
- (559) 591-4090
- NPI assigned
- Aug 21, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Allyson Tajiri Farrell, OD
- Title
- Manager
- Phone
- (559) 591-4656
Practitioners 3
-
Allyson Farrell, OD
-
Wendy Lam, O.D.
-
Moses Thai, OD
National Provider Directory
Locations
119 S L St
Dinuba, CA 93618
Phone (559) 591-4656
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | CA6025T | CA | Yes |
Addresses
Primary practice location
119 S L St
Dinuba, CA 93618-2324
Mailing address
119 S L St
Dinuba, CA 93618-2324
Phone (559) 591-4656
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0060250 | Medicaid | CA |
Other providers in Dinuba, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.