DR. ROBERT GUY FARRELL JR. (NPI# 1104993823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104993823 |
| Entity Type | Individual |
| Full Name | DR. ROBERT GUY FARRELL JR. |
| Credential | O.D. |
| Practice Address |
140 Macomb Pl Mount Clemens MI 48043-5651 |
| Mailing Address |
1280 Pine Dr Ortonville MI 48462-8850 |
| Practice Telephone | 5863221875 |
| Mailing Telephone | 5863221875 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4901003307 | MI | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891336400 | Robert John Farrell | Homemaker | 2182 Forrest Pl, Dupont, WA 98327-9784 | 2019-10-04 |
| 1598148397 | Robert Michael Farrell | Family Medicine | 1007 Phillip Circle, East Bernard, TX 77435 | 2015-06-30 |
| 1790020030 | Robert Joseph Farrell | Chiropractor | 15817 Bernardo Center Dr, 105, San Diego, CA 92127-2353 | 2012-11-27 |
| 1023302049 | Robert Joel Farrell II | Counselor | 730 Wild Ginger Ln, Auburn, AL 36830-6050 | 2011-06-07 |
| 1023307394 | Robert P Farrell | Pharmacist | 8878 Clearfield Curwensville Hwy, Clearfield, PA 16830-3519 | 2011-04-07 |
| 1912145657 | Robert Leslie Farrell | Counselor | 601 N 7th St, Williams, AZ 86046-1905 | 2009-02-03 |
| 1801040605 | Robert E Farrell | Radiology | Po Box U, Waverly, PA 18471-0739 | 2008-11-06 |
| 1205911427 | Robert B Farrell | Optometrist | 119 S L St, Dinuba, CA 93618-2324 | 2006-10-26 |
| 1952491052 | Robert W Farrell | Internal Medicine | 450 Blossom St Ste G, Webster, TX 77598-4200 | 2006-10-13 |
| 1669494092 | Robert Farrell | Psychiatry & Neurology | 501 N Elm St, Little Rock, AR 72205-3927 | 2006-07-24 |
| Street Address |
140 MACOMB PL |
| City | MOUNT CLEMENS |
| State | MI |
| Zip Code | 48043-5651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699300228 | Blue Diamond Aba Services LLC | Assistant Behavior Analyst | 102 North Avenue, Mt. Clemens, MI 48043 | 2020-03-04 |
| 1265086136 | Venture Counseling | Social Worker | 198 S. Main Street, Suite 2, Mount Clemens, MI 48043 | 2019-07-30 |
| 1386203651 | Michele Lee Casebolt | Physical Therapist | 30795 Twenty Three Mile Rd., Chesterfield, MI 48043 | 2019-06-11 |
| 1730669706 | Wynn A Mitchell | Case Manager/Care Coordinator | 24 Hubbard St, Mount Clemens, MI 48043 | 2018-08-18 |
| 1629520101 | Boitshoko Marang | Family Medicine | Clinton River Drive 11a, Mount Clemens, MI 48043 | 2016-10-31 |
| 1720332265 | New Passages | Point of Service | 175 N. Grorsebeck Hwy, Mt. Clemens, MI 48043 | 2012-11-06 |
| 1376807784 | Christopher John Shamass | Emergency Medicine | 1000 Harrington Boulevard, Mount Clemens, MI 48043 | 2012-06-29 |
| 1265749683 | Mycare Health Center | Clinic/Center | 18 Market Street, Suite C, Mount Clemens, MI 48043 | 2010-09-07 |
| 1114102837 | George Edward Perron | Family Medicine | 256 Wellington Crescent, Mt Clemens, MI 48043 | 2007-12-31 |
| 1558568733 | Dawood Ghassan Dalaly | Surgery | 1000 Harrington, Mt Clemens, MI 48043 | 2007-06-29 |
| Find all providers in zip 48043 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548323678 | Sheldon Lee Smith | Optometrist | 118 Cass Ave, Mount Clemens, MI 48043-2204 | 2006-12-19 |
| 1295815926 | Ann Fredal | Optometrist | 136 Cass Ave, Mount Clemens, MI 48043-2230 | 2006-10-17 |
| 1295010627 | Jennifer J. Kim | Optometrist | 118 Cass Ave, Mount Clemens, MI 48043-2204 | 2011-10-17 |
| 1053621342 | Jennifer M Claudio | Optometrist | 118 Cass Ave, Mount Clemens, MI 48043-2204 | 2010-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154921815 | Daniel & Max, LLC | Optometrist | 5020 Bay Rd, Saginaw, MI 48604-2522 | 2020-10-30 |
| 1689274516 | Soave Eye Care | Optometrist | 522 S Garfield Ave Ste A, Traverse City, MI 49686-3485 | 2020-10-29 |
| 1821697152 | Chelsea Vernaci | Optometrist | 42550 Garfield Rd Ste 101, Clinton Twp, MI 48038-1644 | 2020-10-19 |
| 1225636095 | Crystal Angela Ruemenapp | Optometrist | 1691 E Us 23 Ste 2, East Tawas, MI 48730-9337 | 2020-10-14 |
| 1053926089 | Estefany Colon Lopez | Optometrist | 3497 S Linden Rd Spc 780, Flint, MI 48507-3018 | 2020-09-15 |
| 1770195794 | Caitlin Elise-nosanov Winsor | Optometrist | 1761 W M 43 Hwy Ste 1, Hastings, MI 49058-8567 | 2020-08-20 |
| 1194336446 | Bennett Optometry LLC | Optometrist | 555 E Michigan Ave, Saline, MI 48176-1588 | 2020-08-11 |
| 1538777255 | James Bong-suk Kim | Optometrist | 19747 W 12 Mile Rd Ste L7a, Southfield, MI 48076-2584 | 2020-07-20 |
| 1295352987 | Ashleigh Yates | Optometrist | 3152 Peregrine Dr Ne Ste 205, Grand Rapids, MI 49525-9723 | 2020-06-29 |
| 1467078915 | Jaclyn Tolles | Optometrist | 63 1st St, Milan, MI 48160-1001 | 2020-06-21 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT CLEMENS |
| Zip Code | 48043 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.