| Doctor Name: | MS. SANDRA FARNER |
| NPI Number: | 1114145315 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | T.D. |
| License Number: | 31TD00228400 |
| Business Practice Address: | 1206 Route 72 W Manahawkin, NJ - 080502414 |
| Business Phone Number: | 6095979494 |
| Business Fax Number: | 6095977192 |
| Mailing Address: | 1206 Route 72 W, MANAHAWKIN |
| State: | NJ |
| Postal Code: | 080502414 |
| Phone Number: | 6095979494 |
| Fax Number: | 6095977192 |
| NPI Enumeration Date: | 04/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 31TD00228400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |