Khoury, Farid Elie

Khoury, Farid Elie is an sole proprietor health care provider with primary practice located at 1500 S 2Nd St Ste 5 , Gallup NM 87301-5898. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Khoury, Farid Elie can be contacted via phone (505) 979-0894.

Contact Information

Primary practice address
1500 S 2Nd St Ste 5 Gallup NM 87301-5898
Fax: (505) 726-2871
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X NM536 New Mexico
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X NM536 New Mexico
Eye and Vision Services Providers / Pediatrics 152WP0200X NM536 New Mexico
Eye and Vision Services Providers / Vision Therapy 152WV0400X NM536 New Mexico

Profile Details

NPI number 1003999301
LBN Legal business name Khoury, Farid Elie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1003999301 NPPES
New Mexico Other 44840 DAVIS VISION
New Mexico MEDICAID 52032019 DAVIS VISION
New Mexico Other 25676 DAVIS VISION

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