Organization Active NPI

Stephen J Farris OD, a Professional Optometric Corporation

  • Optometrist
  • Fowler, CA
National Provider Identifier
1972910776
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12422T Issued in CA
Legal business name
STEPHEN J FARRIS OD, A PROFESSIONAL OPTOMETRIC CORPORATION
Practice address
121 E Merced St
Suite a
Fowler, CA 93625-2357
Phone
(559) 316-7053
Fax
(559) 316-7054
NPI assigned
Jul 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Authorized official

Name
Dr. Stephen Jeffrey Farris, O.D.NPI 1619072287
Title
President
Phone
(559) 316-7053

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12422T CA Primary

Addresses

Primary practice location

121 E Merced St
Suite a
Fowler, CA 93625-2357

Mailing address

121 E Merced St
Suite a
Fowler, CA 93625-2357
Phone (559) 316-7053

National Provider Directory

National Provider Directory

Locations

121 E Merced St
Ste A
Fowler, CA 93625
Phone (559) 316-7053

Practitioners & affiliated clinicians

Practitioners 1

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": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1972910776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E MERCED ST",
            "address_2": "SUITE A",
            "city": "FOWLER",
            "state": "CA",
            "postal_code": "936252357",
            "telephone_number": "559-316-7053",
            "fax_number": "559-316-7054"
        },
        {
            "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": "936252357",
            "telephone_number": "559-316-7053",
            "fax_number": "559-316-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN J FARRIS OD, A PROFESSIONAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "FARRIS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-316-7053",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12422T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fowler, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.