Stephen Jeffrey Farris, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12422T Issued in CA

Practice address

121 E Merced St
Suite a
Fowler, CA 93625-2312

Phone

(559) 316-7053

Fax

(559) 316-7054

NPI assigned

Sep 14, 2006

Last updated

Oct 21, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Optometry

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Eyecare Specialists PLLCGroup PAC ID 0749350650, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://familyeyes.ef.prod.fhir.ema-api.com/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Eyecare Specialists PLLC

  dba William T Black

  • Optometrist
  • Caldwell, ID
  • NPI 1588840557
  Medicare reassignment Care Compare group NPD
• Stephen J Farris OD, a Professional Optometric Corporation

  • Optometrist
  • Fowler, CA
  • NPI 1972910776
  NPD (past) Authorized official
• Family Eyecare Specialists PLLC

  • Optometrist
  • Middleton, ID
  • NPI 1437012770
  NPD (past)
• Insight Optical

  • Optometrist
  • Caldwell, ID
  • NPI 1588830665
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1619072287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 ELM STREET",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054846",
            "telephone_number": "208-459-2020",
            "fax_number": "208-459-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E MERCED ST",
            "address_2": "SUITE A",
            "city": "FOWLER",
            "state": "CA",
            "postal_code": "936252312",
            "telephone_number": "559-316-7053",
            "fax_number": "559-316-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRIS",
        "first_name": "STEPHEN",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12422T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jagdip Dhanda
• Saul Antonio Diaz Martinez, MD
• Dycora Transitional Health - Fowler LLC
• Elena Joy Enriquez-Zamora
• Margarita Escalante, LCSW
• Daniela Mahely Fis
• Fowler Care Center LLC (Fowler Care Center)
• Fowler Care Holdings, LLC
• Fowler Medical Center Inc
• Fowler Physical Therapy, Inc

• Optometrist in Fowler, CA
• Providers in Fowler, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.