Individual
DR. AMY MARIE FARRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
I3-0001238
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000594145
—
DE
01
—
0483709
AETNA HMO
DE
01
—
27415
COVENTRY HEALTHCARE OF DE
DE
01
—
4517150
AETNA, INC.
DE
01
—
510362254
BLUECROSS BLUESHIELD DE
DE
01
—
510362254 0001
CIGNA HEALTHCARE
DE
01
—
510362254 19711 A001
TRICARE NORTH REGION
DE
Enumeration date
11/22/2006
Last updated
07/01/2008
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