JACK C. FARRIS

FORT MEADE, MD
NPI1407837776
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: VA  0618000904)
Enumeration Date2005-11-14
Last Update Date2007-07-08
Business Address
Dr. JACK C. FARRIS O.D.
KIMBROUGH AMBULATORY CARE CENTER ATTN: OPTOMETRY
FORT MEADE, MD 21044-5800
Phone number: 301-677-8378
Mailing Address
Dr. JACK C. FARRIS O.D.
11601 SUN CIRCLE WAY
COLUMBIA, MD 21044-4375
Phone number: 443-367-0287
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