Active NPI
Melvin L Farnsworth, O.D.
- Optometrist
- Anacortes, WA
National Provider Identifier
1366519050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1542
- Practice address
- 1610 Commercial Ave
Anacortes, WA 98221-2275 - Phone
- (360) 293-2127
- Fax
- (360) 293-1354
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 1542 | WA | Primary |
Addresses
Primary practice location
1610 Commercial Ave
Anacortes, WA 98221-2275
Mailing address
2419 Commercial Ave
1610 Commercial
Anacortes, WA 98221-2727
Phone (360) 293-2127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1024072 | Medicaid | WA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1542 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487116800000",
"number": "1366519050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2419 COMMERCIAL AVE",
"address_2": "1610 COMMERCIAL",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982212727",
"telephone_number": "360-293-2127",
"fax_number": "360-293-1354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 COMMERCIAL AVE",
"city": "ANACORTES",
"state": "WA",
"postal_code": "982212275",
"telephone_number": "360-293-2127",
"fax_number": "360-293-1354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARNSWORTH",
"first_name": "MELVIN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2017-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "1542",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1024072",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anacortes, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.