Provider Demographics
NPI:1275751604
Name:FARR, ROBERT CRAIG (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CRAIG
Last Name:FARR
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2974 N ALMA SCHOOL RD
Mailing Address - Street 2:STE 3
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-6713
Mailing Address - Country:US
Mailing Address - Phone:480-899-0188
Mailing Address - Fax:480-899-0199
Practice Address - Street 1:2974 N ALMA SCHOOL RD STE 3
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-6713
Practice Address - Country:US
Practice Address - Phone:480-899-0188
Practice Address - Fax:480-899-0199
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ965152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZU68466Medicare UPIN
AZZ69114Medicare PIN