Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK C. FARRIS, O.D.
ActiveDR. JACK C. FARRIS, O.D. is a Optometrist healthcare provider located in FORT MEADE, Maryland. NPI 1407837776 is currently active in the NPPES registry. Verify at CMS.
Optometrist · FORT MEADE, MD
Registration Details
- NPI Number
- 1407837776
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 14, 2005 (20.726696151552 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0618000904 (VA)
Practice Information
- Address
-
KIMBROUGH AMBULATORY CARE CENTERATTN: OPTOMETRYFORT MEADE, MD, 210445800Browse MD providers · Browse ZIP 21044
- Phone
- 3016778378
- Fax
- 3016778077
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in FORT MEADE, MD
| Name | Credential | NPI |
|---|---|---|
| DR. DENNIS J. CURTIS | O.D. | 1508845108 |
| DR. RANDALL WARD RHEES | O.D. | 1114995685 |
| JOHN T KOEHLER | O.D. | 1568877926 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.