Organization Active NPI

Amy M Farrall OD LLC

  • Optometrist
  • Newark, DE
National Provider Identifier
1841475167
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I3-0001238 Issued in DE
Legal business name
AMY M FARRALL OD LLC
Practice address
317 E Main St
Newark, DE 19711-7152
Phone
(302) 737-5777
Fax
(302) 737-0142
NPI assigned
Jan 5, 2008
Last updated
Jul 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Dr. Amy M Farrall, ODNPI 1154496149
Title
President
Phone
(302) 737-5777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X I3-0001238 DE Primary

Addresses

Primary practice location

317 E Main St
Newark, DE 19711-7152

Mailing address

317 E Main St
Newark, DE 19711-7152
Phone (302) 737-5777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080325000688 DE Part B Supplier - Clinic/Group Practice 9931285392 Receives reassigned benefits from 1 practitioner
Practice locations: Newark, DE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1841475167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E MAIN ST",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117152",
            "telephone_number": "302-737-5777",
            "fax_number": "302-737-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 E MAIN ST",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117152",
            "telephone_number": "302-737-5777",
            "fax_number": "302-737-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY M FARRALL OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-05",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "FARRALL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-737-5777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I3-0001238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.