Healthcare Provider Details

I. General information

NPI: 1912529959
Provider Name (Legal Business Name): OMAR FARHAT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2020
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 SW CORPORATE VW
TOPEKA KS
66615-1233
US

IV. Provider business mailing address

619 SW CORPORATE VW
TOPEKA KS
66615-1233
US

V. Phone/Fax

Practice location:
  • Phone: 785-235-3322
  • Fax: 785-235-1217
Mailing address:
  • Phone: 785-235-3322
  • Fax: 785-235-1217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number0451604
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License Number0451604
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: