IndividualActive
Jeff Farnan
NPI 1396970455 · Optician · Maryville, MO
Provider details
- NPI number
- 1396970455
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1713 S Main St
Maryville, MO 64468-2613
Phone: (660) 582-8911
Approximate (ZIP-level) locationGet directions
Mailing address
1713 S Main St
Maryville, MO 64468-2613
Registry dates
- Enumerated
- 2009-05-19
- Last updated
- 2009-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.