Provider Demographics
NPI:1699771436
Name:MCFARLAND, GREGORY L (OD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:L
Last Name:MCFARLAND
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12010 PALM DRIVE
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 DRIVE
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
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8281152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA8281TLGOtherSTATE OF CA
CA8894639Medicaid
SD0082810OtherMEDICARE PTAN
1699771436OtherINDIV NPI
1093983074OtherGROUP NPI
1093983074OtherGROUP NPI
CA8894639Medicaid