Individual provider Active NPI

Allyson Farrell, OD

  • Optometrist
  • Dinuba, CA
National Provider Identifier
1992880116
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CA6124T Issued in CA
Practice address
119 S L St
Dinuba, CA 93618-2324
Phone
(559) 591-4656
Fax
(559) 591-4090
NPI assigned
Oct 26, 2006
Last updated
Nov 18, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CA6124T CA Primary

Addresses

Primary practice location

119 S L St
Dinuba, CA 93618-2324

Mailing address

119 South L Street
Dinuba, CA 93618
Phone (559) 591-4656

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

LicenseStateTypeSpecialty
CA6124TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dinuba Optometric Center Inc a Professional Corporation Optometrist CurrentSince Nov 1, 2020 Accepting new patients
Robert Farrell Optometrist PastSince Aug 31, 2015 Accepting new patients

Locations

119 S L St
Dinuba, CA 93618
Phone (559) 591-4656

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321574400000",
    "number": "1992880116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 SOUTH L STREET",
            "city": "DINUBA",
            "state": "CA",
            "postal_code": "93618",
            "telephone_number": "559-591-4656",
            "fax_number": "559-591-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S L ST",
            "city": "DINUBA",
            "state": "CA",
            "postal_code": "936182324",
            "telephone_number": "559-591-4656",
            "fax_number": "559-591-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "ALLYSON",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2011-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA6124T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dinuba, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.