Provider Demographics
NPI:1871839001
Name:FARMER, KARA RAE (OD)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:RAE
Last Name:FARMER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3310B FM 967
Mailing Address - Street 2:STE A108
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-3436
Mailing Address - Country:US
Mailing Address - Phone:210-490-3937
Mailing Address - Fax:
Practice Address - Street 1:21019 US HIGHWAY 281 N
Practice Address - Street 2:STE 832
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-7601
Practice Address - Country:US
Practice Address - Phone:210-490-3937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-16
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8012TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist