Individual
CHERIE A FARKASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1000 WALL ST, ANN ARBOR, MI 48105-1912
(734) 764-4190
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4617
MA
152W00000X
Optometrist
Primary
4901004786
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00013301
MEDICARE
MA
01
—
0713554
MASS HEALTH
—
01
—
7130958
AETNA
—
01
—
8349617
CIGNA
—
01
—
9721100
MASS HEALTH GROUP NUMBER
—
01
—
AA94651
HARVARD PILGRIM
—
01
—
MA4617
EYEMED
—
Enumeration date
08/12/2006
Last updated
02/02/2024
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