Individual
DR. DAVID FARBEROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1537 PACIFIC AVE, SUITE 100, SANTA CRUZ, CA 95060-3942
(831) 429-2020
(831) 429-2945
Mailing address
1537 PACIFIC AVE, SUITE 100, SANTA CRUZ, CA 95060-3942
(831) 429-2020
(831) 429-2945
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6912T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77-0413139
FED TAX ID
CA
Enumeration date
11/09/2006
Last updated
08/05/2014
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