Provider Demographics
NPI:1841289055
Name:FARREN, DANIEL J (OD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:J
Last Name:FARREN
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 1:2410 AMHERST AVE
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-3800
Mailing Address - Country:US
Mailing Address - Phone:406-494-3336
Mailing Address - Fax:406-494-6337
Practice Address - Street 1:2410 AMHERST AVE
Practice Address - Street 2:
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701-3800
Practice Address - Country:US
Practice Address - Phone:406-494-3336
Practice Address - Fax:406-494-6337
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2025-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT395152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT48-7929Medicaid
MT000002503Medicare PIN
MTT89186Medicare UPIN
MT0591200001Medicare NSC