National Provider Identifier
Kelly Diane Farrar, O.D.
Kelly Diane Farrar, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Newark, NY and a listed phone number of (315) 331-5721.
Profile Overview
- NPI
- 1073614293
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- September 26, 2006
- Last Updated
- July 23, 2019
Practice Location
- 1105 Driving Park Ave
- Newark, NY 14513-1069
Phone: (315) 331-5721
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1073614293
- Entity Type
- Individual
- Last Name
- Farrar
- First Name
- Kelly
- Middle Name
- Diane
- Credential
- O.D.
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Mailing Phone
- (315) 331-5721
- Practice Street Address
- 1105 Driving Park Ave
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1069
- Practice Country
- US
- Practice Phone
- (315) 331-5721
- Enumeration Date
- September 26, 2006
- Last Updated
- July 23, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)