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Contact Information

GARY L FARLEY, OD
3731 BLVD
STE A
COLONIAL HEIGHTS, VA23834
 Phone: 804-526-3676
 Fax: 804-520-5781
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for GARY L FARLEY · (Male)

NPI # 1699715698
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/07/2006
Last updated 09/26/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0618000043
  • VA Medicaid 9206931
  • VA Other 014917 ANTHEM
  • VA Other 410008652A MEDICARE RR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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