Far Reach Foundation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

FAR REACH FOUNDATION

Practice address

620 Bear Run LN Ste B
Lewis Center, OH 43035-8299

Phone

(866) 624-7001

NPI assigned

Sep 19, 2017

Last updated

Sep 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Dean

Title

Clo

Phone

(614) 949-0287

Specialties & licenses 4

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505779200000",
    "number": "1326567512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 BEAR RUN LN STE B",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BEAR RUN LN STE B",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358299",
            "telephone_number": "866-624-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAR REACH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2017-09-19",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CLO",
        "authorized_official_telephone_number": "614-949-0287"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evans Farm Family Eye Care, LLC
• Bethany Lynn Everson, PT
• Eyeshop Optical Center LLC
• Tracy Faiella, OTR/L
• Fami Group (A Place At Home- Dublin)
• Roopan Elizabeth Farris, MD
• Yeyetunde Abayomi Fawole, LPN
• Megan Rebecca Ferrer, O.D.
• Fixari Dental of Lewis Center LLC
• Nora Jane Flanagan, CT

• General Practice Physician in Lewis Center, OH
• Providers in Lewis Center, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.