Provider Demographics
NPI:1174727507
Name:GREGORY L MCFARLAND, O.D., INC.
Entity type:Organization
Organization Name:GREGORY L MCFARLAND, O.D., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:JUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-251-6600
Mailing Address - Street 1:12010 PALM DR
Mailing Address - Street 2:
Mailing Address - City:DESERT HOT SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92240-3902
Mailing Address - Country:US
Mailing Address - Phone:760-251-6600
Mailing Address - Fax:760-251-8587
Practice Address - Street 1:12010 PALM DR
Practice Address - Street 2:
Practice Address - City:DESERT HOT SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92240-3902
Practice Address - Country:US
Practice Address - Phone:760-251-6600
Practice Address - Fax:760-251-8587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA08281TLG261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
1699771436OtherPROVIDER NPI NUMBER
CA08281TLGOtherBOARD OF OPTOMETRY
CA08281TLGOtherBOARD OF OPTOMETRY
U87282Medicare UPIN
1699771436OtherPROVIDER NPI NUMBER