Individual
CAROL JEAN FARRAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1 CHANDLER DR STE 15, BATH, ME 04530-1522
(207) 442-0580
(207) 442-0580
Mailing address
1 CHANDLER DR STE 15, BATH, ME 04530-1522
(207) 442-0580
(207) 442-0580
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 816
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041501
ANTHEM
ME
01
—
2751850
AETNA
ME
01
—
M56091
CIGNA HEALTHCARE
ME
Enumeration date
04/12/2007
Last updated
07/08/2007
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