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DR. STEPHEN JEFFREY FARRIS O.D.
>> Optometrist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1619072287
Individual Registrant:DR. STEPHEN JEFFREY FARRIS O.D.
Gender: M
Not Sole Proprietor
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
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
Tel: 208-459-2020 Fax: 208-459-2034
Registration Information:
NPI: 1619072287
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 152W00000X | Eye and Vision Services Providers Optometrist | CA | 12422T |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
