DR. Jack C. Farris, O.D.

NPI #1407837776 in Fort Meade, Maryland

Provider Information

NPI Number: 1407837776
Entity Type: Individual
Name: DR. Jack C. Farris, O.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Nov 14, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: KIMBROUGH AMBULATORY CARE CENTER
Address 2: ATTN: OPTOMETRY
City: Fort Meade
State: Maryland
ZIP Code: 21044-5800
Phone: (301) 677-8378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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