Organization
JURY, FARRAR AND ASSOCIATES, DOCTORS OF OPTOMETRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN R FARRAR O.D. (OPTOMETRIST/OWNER)
(620) 624-1679
Entity
Organization
Contact information
Practice address
2381 N KANSAS AVE, LIBERAL, KS 67901-2055
(620) 624-1679
Mailing address
2381 N KANSAS AVE, LIBERAL, KS 67901-2055
(620) 624-1679
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
—
152WX0102X
Occupational Vision Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017159
BCBS
KS
Enumeration date
09/04/2006
Last updated
04/22/2008
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