MEDICARE: DR. GREGORY L MCFARLAND O.D.

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	152W00000X	Optometrist	8281	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	SD0082810	OTHER		MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8281TLG	OTHER	CA	STATE OF CA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1699771436	OTHER		INDIV NPI
5	1093983074	OTHER		GROUP NPI

General Provider Information

NPI Number	:	1699771436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY L MCFARLAND O.D.

Provider Business Mailing Address
First Line	:	12010 PALM DRIVE
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 DRIVE
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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	05/01/2013

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