Farris, Michael Douglas
Farris, Michael Douglas is an individual health care provider with primary practice located at 113 Country Club Dr Ne , Concord NC 28025-2935. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Farris, Michael Douglas can be contacted via phone (704) 786-7600.Contact Information
Primary practice address
113 Country Club Dr Ne
Concord NC 28025-2935
Phone: (704) 786-7600
Fax: (704) 792-2131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1117 | North Carolina |
Profile Details
| NPI number | 1619971397 |
|---|---|
| LBN Legal business name | Farris, Michael Douglas |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619971397 | NPPES |
| North Carolina | MEDICAID | 890914J | |
| North Carolina | Other | 1117 |
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