Individual
DR. DANIEL D.T. FARNSWORTH IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
137 MAIN AVE, WESTON, WV 26452-1944
(304) 269-2020
(304) 269-2020
Mailing address
137 MAIN AVE, WESTON, WV 26452-1944
(304) 269-2020
(304) 269-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
823OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0148280001
ADMINISTAR FEDERAL
WV
05
—
0149630000
—
WV
Enumeration date
12/06/2005
Last updated
10/08/2009
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