Organization Active NPI

G.L. Farrow O.D. , P.C.

  • Optometrist
  • Snellville, GA
National Provider Identifier
1649498700
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT001582 Issued in GA
Legal business name
G.L. FARROW O.D. , P.C.
Practice address
4002 Stone Mountain Hwy
Suite 100
Snellville, GA 30039-7915
Phone
(770) 736-5695
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Authorized official

Name
Dr. Gary L. Farrow, O.D.
Title
President
Phone
(912) 258-0094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT001582 GA Primary

Addresses

Primary practice location

4002 Stone Mountain Hwy
Suite 100
Snellville, GA 30039-7915

Mailing address

4002 Stone Mountain Hwy
Suite 100
Snellville, GA 30039-7915
Phone (770) 736-5695

National Provider Directory

National Provider Directory

Locations

4002 Stone Mountain Hwy
Snellville, GA 30039
Phone (770) 736-5695

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1649498700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 STONE MOUNTAIN HWY",
            "address_2": "SUITE 100",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300397915",
            "telephone_number": "770-736-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 STONE MOUNTAIN HWY",
            "address_2": "SUITE 100",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300397915",
            "telephone_number": "770-736-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.L. FARROW O.D. , P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "FARROW",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-258-0094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT001582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.