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Individual

DR. DAVID R FARMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
5308 PROVIDENCE ROAD, VIRGINIA BEACH, VA 23464-4102
(757) 467-6200
Mailing address
5308 PROVIDENCE ROAD, VIRGINIA BEACH, VA 23464-4102
(757) 467-6200

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000044
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0247890001
DMERC
VA
01
061177
ANTHEM BCBS
VA
Enumeration date
08/02/2006
Last updated
10/29/2009
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