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General NPI Number Information
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NPI Number | 1215915590
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Entity Type | Individual
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Provider Name | SHANNON BELINDA FARR OD
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Gender | Female
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Dates
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Enumeration Date | 01/05/2006
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | HARBOR VIEW EYE CARE, LLC. 743 BROADWAY
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City | SOUTH PORTLAND
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State | ME
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Zip | 04106
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Country | US
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Telephone | 207-799-3031
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Fax | 207-799-9005
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Provider Business Mailing Address
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Address Line | 3245 HOSPITAL DRIVE SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM
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City | JUNEAU
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State | AK
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Zip | 99801
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Country | US
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Telephone | 907-463-4086
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Fax | 907-463-6618
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0ET009051
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OE007953P
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 264
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License Number State | AK
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