DR. MICHAEL DOUGLAS FARRIS (NPI# 1619971397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619971397 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DOUGLAS FARRIS |
| Credential | O.D. |
| Practice Address |
113 Country Club Dr Ne Concord NC 28025-2935 |
| Practice Telephone | 7047867600 |
| Practice Fax Number | 7047922131 |
| Mailing Telephone | 7047867600 |
| Mailing Fax Number | 7047922131 |
| Enumeration Date | 2005-06-09 |
| 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 | 1117 | NC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890914J | 05 | |
| NC | STATE LICENSE | 1117 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801457460 | Michael Keith Farris | Nurse Practitioner | 4200 Santa Olivia St, Mission, TX 78572-8636 | 2019-06-25 |
| 1881937050 | Michael Saul Farris | Psychiatry & Neurology | Ohsu-3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2013-04-05 |
| 1043324791 | Michael M. Farris | Physician Assistant | 1301 West 38th Street Suite 102, Austin, TX 78705-4107 | 2006-08-19 |
| 1548238520 | Michael V Farris | Physical Therapist | 121 Enclave Drive, Suite A, New Castle, PA 16105 | 2006-03-08 |
| 1801891387 | Michael John Farris | Emergency Medicine | 113 W Hickory St, Neosho, MO 64850 | 2005-06-20 |
| 1447698428 | Michael Farris | Pharmacist | 4265 Tamiami Trl, Port Charlotte, FL 33980-2152 | 2013-06-12 |
| 1063754430 | Michael Keith Farris | Radiology | 557 Brookdale Dr, Statesville, NC 28677-4107 | 2013-03-22 |
| 1215262092 | Michael Andrew Farris | Psychologist | 55 Morris Ave, Suite 108, Springfield, NJ 07081-1426 | 2009-10-12 |
| Street Address |
113 COUNTRY CLUB DR NE |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366778979 | Jessica Hill Oneil | Optometrist | 113 Country Club Dr Ne, Concord, NC 28025-2935 | 2009-11-02 |
| 1811937865 | Matthew James Bailey | Optometrist | 113 Country Club Dr Ne, Concord, NC 28025-2935 | 2006-06-07 |
| 1851344253 | Eyecarecenter Od Pa | Optometrist | 113 Country Club Dr Ne, Concord, NC 28025-2935 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| 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 |
|---|---|---|---|---|
| 1992313977 | National Vision Inc | Optometrist | 1497 Concord Pkwy N Ste 100, Concord, NC 28025-0822 | 2020-07-16 |
| 1134747058 | Abbie Louise Martin | Optometrist | 273 Loudon Rd Ste 7, Concord, NH 03301-6062 | 2020-07-07 |
| 1558919514 | Nathaniel William Hitt | Optometrist | 5325 Vinning St Nw Ste 202, Concord, NC 28027-2946 | 2019-09-03 |
| 1558710103 | Anthony Fioravanti | Optometrist | 8561 Concord Mills Blvd Ste B, Concord, NC 28027-5408 | 2016-06-05 |
| 1922474428 | Optometric Associates of Nh, LLC | Optometrist | 273 Loudon Road, Suite 7, Concord, NH 03301 | 2015-08-19 |
| 1326479577 | Arnoldo Bowrey | Optometrist | 4749 Turnridge Ct Nw, Concord, NC 28027-3402 | 2013-12-12 |
| 1457589798 | Natalie Wade Harn-reid | Optometrist | 1480 Concord Parkway, Carolina Mall #301, Concord, NC 28025 | 2009-06-25 |
| 1083860514 | John Charles Schwartz | Optometrist | 1462 Barbis Way, Concord, CA 94518-1248 | 2008-08-15 |
| 1770748550 | Amy Katherine Moussa | Optometrist | 901 Sunvalley Blvd Ste 110, Concord, CA 94520-5816 | 2008-07-22 |
| 1548439839 | Invision Family Eyecare Od Pllc | Optometrist | 6167 Bayfield Parkway, Concord, NC 28027-7486 | 2008-02-21 |
| Find all providers in CONCORD | ||||
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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.