Individual provider Active NPI

Keith Adrian Farson, O.D.

  • Optometrist
  • Mission Viejo, CA
National Provider Identifier
1366419798
Registry record updated Mar 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6913A Issued in CA
Practice address
27724 Santa Margarita Pkwy
Mission Viejo, CA 92691-6653
Phone
(949) 583-0422
Fax
(949) 583-0417
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6913A CA Primary

Addresses

Primary practice location

27724 Santa Margarita Pkwy
Mission Viejo, CA 92691-6653

Mailing address

27724 Santa Margarita Pkwy
Mission Viejo, CA 92691-6653
Phone (949) 583-0422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6913ACAMDOptometrist
6913CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Farson and Murray, Family Eyecare Optometrist PastSince Sep 24, 2014 Accepting new patients
Keith a Farson Optometrist PastSince Sep 24, 2014 Accepting new patients

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": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1366419798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27724 SANTA MARGARITA PKWY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916653",
            "telephone_number": "949-583-0422",
            "fax_number": "949-583-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27724 SANTA MARGARITA PKWY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916653",
            "telephone_number": "949-583-0422",
            "fax_number": "949-583-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARSON",
        "first_name": "KEITH",
        "middle_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6913A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.