Provider Demographics
NPI:1992902928
Name:YUNUS, FARHANA JABEEN (OD)
Entity type:Individual
Prefix:DR
First Name:FARHANA
Middle Name:JABEEN
Last Name:YUNUS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3950 S US HIGHWAY 17/92 STE 1008
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707-3289
Mailing Address - Country:US
Mailing Address - Phone:386-852-8042
Mailing Address - Fax:321-244-0848
Practice Address - Street 1:3950 S US HIGHWAY 17/92 STE 1008
Practice Address - Street 2:
Practice Address - City:CASSELBERRY
Practice Address - State:FL
Practice Address - Zip Code:32707-3289
Practice Address - Country:US
Practice Address - Phone:386-852-8042
Practice Address - Fax:321-244-0848
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3845152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLU3126Medicare NSC
FLU97191Medicare UPIN