Individual
DR. RYAN R FARRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2381 N KANSAS AVE, LIBERAL, KS 67901-2055
(620) 624-1679
(620) 624-6001
Mailing address
2381 N KANSAS AVE, LIBERAL, KS 67901-2055
(620) 624-1679
(620) 624-6001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1568
KS
152W00000X
Optometrist
2302
OK
152WC0802X
Corneal and Contact Management Optometrist
1568
KS
152WC0802X
Corneal and Contact Management Optometrist
2302
OK
152WL0500X
Low Vision Rehabilitation Optometrist
1568
KS
152WL0500X
Low Vision Rehabilitation Optometrist
2302
OK
152WP0200X
Pediatric Optometrist
1568
KS
152WP0200X
Pediatric Optometrist
2302
OK
152WS0006X
Sports Vision Optometrist
1568
KS
152WS0006X
Sports Vision Optometrist
2302
OK
152WV0400X
Vision Therapy Optometrist
1568
KS
152WV0400X
Vision Therapy Optometrist
2302
OK
152WX0102X
Occupational Vision Optometrist
1568
KS
152WX0102X
Occupational Vision Optometrist
2302
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650863
BCBS OF KS
KS
Enumeration date
09/04/2006
Last updated
04/22/2008
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