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DR. STEPHEN JEFFREY FARRIS O.D.

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1619072287

Individual Registrant:
DR. STEPHEN JEFFREY FARRIS O.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
121 E MERCED ST SUITE A FOWLER, CA 93625-2312 US
Tel: 559-316-7053  Fax: 559-316-7054

Contact information for business:
420 ELM STREET  CALDWELL, ID 83605-4846 US
Tel: 208-459-2020  Fax: 208-459-2034

Registration Information:
NPI: 1619072287
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
CA12422T

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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