Farlow, Bradley A

Farlow, Bradley A is an individual health care provider with primary practice located at 144 W Hill St , Wabash IN 46992-3048. He recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Occupational Vision, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Farlow, Bradley A can be contacted via phone (260) 563-2020.

Contact Information

Primary practice address
144 W Hill St Wabash IN 46992-3048
Fax: (260) 563-2873
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 18002054A Indiana
Eye and Vision Services Providers / Optometrist 152W00000X 18002054A Indiana
Eye and Vision Services Providers / Occupational Vision 152WX0102X 18002054A Indiana
Eye and Vision Services Providers / Pediatrics 152WP0200X 18002054A Indiana
Eye and Vision Services Providers / Sports Vision 152WS0006X 18002054A Indiana

Profile Details

NPI number 1821077124
LBN Legal business name Farlow, Bradley A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Sep 4th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821077124 NPPES
Indiana MEDICAID 100253500B
Indiana Other 000000088323
Indiana Other 134927

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