Provider Demographics
NPI:1518534940
Name:FARNSWORTH, CHELSEA RAE (OD)
Entity Type:Individual
Prefix:MS
First Name:CHELSEA
Middle Name:RAE
Last Name:FARNSWORTH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3335 W LOUISE DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-1630
Mailing Address - Country:US
Mailing Address - Phone:602-388-0053
Mailing Address - Fax:
Practice Address - Street 1:8240 N HAYDEN RD STE B100
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-2486
Practice Address - Country:US
Practice Address - Phone:480-900-2020
Practice Address - Fax:480-900-0966
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-04
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOPT-002537152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist