Provider Demographics
NPI:1154845220
Name:BURNETT-FARRANDS, ARIAN LEE (OD)
Entity Type:Individual
Prefix:DR
First Name:ARIAN
Middle Name:LEE
Last Name:BURNETT-FARRANDS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CLIFTON SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:14432-1052
Mailing Address - Country:US
Mailing Address - Phone:315-945-9893
Mailing Address - Fax:
Practice Address - Street 1:4109 W GENESEE ST
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13219-1956
Practice Address - Country:US
Practice Address - Phone:315-488-2020
Practice Address - Fax:315-488-2101
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-01
Last Update Date:2017-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV008655-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist