MEDICARE: FARR EYECARE GROUP, LLC

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

General Provider Information

NPI Number	:	1518147669
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARR EYECARE GROUP, LLC

Provider Business Mailing Address
First Line	:	2974 N ALMA SCHOOL RD STE 3
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224-6713
Country	:	US
Telephone Number	:	480-899-0188
Fax Number	:	480-899-0199

Provider Business Practice Location Address
First Line	:	2974 N ALMA SCHOOL RD STE 3
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85224-6713
Country	:	US
Telephone Number	:	480-899-0188
Fax Number	:	480-899-0199

Authorized Official
Title or Position	:	PRESIDENT/DIRECTOR
Name	:	DR. ROBERT C. FARR
Credential	:	O.D.
Telephone Number	:	480-899-0188

Provider Enumeration Date	:	11/06/2007
Last Update Date	:	04/15/2020

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