Healthcare Provider Details

I. General information

NPI: 1225976087
Provider Name (Legal Business Name): GARRISON JAMES FARR O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

951 SEMINOLE RD
NORTON SHORES MI
49441-4341
US

IV. Provider business mailing address

72 DOGWOOD CT
MUSKEGON MI
49445-1493
US

V. Phone/Fax

Practice location:
  • Phone: 231-780-4700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4901005956
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: