MEDICARE: GREGORY L MCFARLAND, O.D., INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	08281TLG	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1699771436	OTHER		PROVIDER NPI NUMBER
2	08281TLG	OTHER	CA	BOARD OF OPTOMETRY

General Provider Information

NPI Number	:	1174727507
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREGORY L MCFARLAND, O.D., INC.

Provider Business Mailing Address
First Line	:	12010 PALM DR
Second Line	:
City	:	DESERT HOT SPRINGS
State	:	CA
Zip	:	92240-3902
Country	:	US
Telephone Number	:	760-251-6600
Fax Number	:	760-251-8587

Provider Business Practice Location Address
First Line	:	12010 PALM DR
Second Line	:
City	:	DESERT HOT SPRINGS
State	:	CA
Zip	:	92240-3902
Country	:	US
Telephone Number	:	760-251-6600
Fax Number	:	760-251-8587

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR
Name	:	MR. MARTIN R JUAREZ
Credential	:
Telephone Number	:	760-251-6600

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	03/07/2023

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