Allyson Farrell, OD
Individual provider Active NPI Optometrist · Dinuba, CA
NPI 1992880116 · NPPES record last updated Nov 18, 2011
Key facts
- NPI
- 1992880116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- CA6124T (CA)
- Practice address
- 119 S L St
Dinuba, CA 93618-2324 - Phone
- (559) 591-4656
- Fax
- (559) 591-4090
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA6124T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dinuba Optometric Center Inc a Professional Corporation | Optometrist | Current |
Accepting new patients |
| Robert Farrell | Optometrist | Past |
Accepting new patients |
Locations
119 S L St
Dinuba, CA 93618
Phone (559) 591-4656
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | CA6124T | CA | Yes |
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
Other providers in Dinuba, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.