Provider Demographics
NPI:1316982325
Name:FARLEY-POYANT, ANNE J (OD)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:J
Last Name:FARLEY-POYANT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:ANNE
Other - Middle Name:J
Other - Last Name:FARLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:50 STANIFORD STREET
Mailing Address - Street 2:SUITE 600 OPTHALMIC CONSULTANTS OF BOSTON
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2517
Mailing Address - Country:US
Mailing Address - Phone:617-367-4800
Mailing Address - Fax:617-589-3905
Practice Address - Street 1:88 ANSEL HALLET RD
Practice Address - Street 2:
Practice Address - City:WEST YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02673-2556
Practice Address - Country:US
Practice Address - Phone:508-771-4848
Practice Address - Fax:508-833-9924
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3871152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
003871OtherTUFTS HEALTH PLAN
MA110017665AMedicaid
157757OtherHARVARD PILGRIM HLTHCARE
W16104OtherBLUE CROSS BLUE SHIELD
MA0369942Medicaid
MA110017665AMedicaid
MA0369942Medicaid