Khoury, Farid Elie
Khoury, Farid Elie is an sole proprietor health care provider with primary practice located at 1500 S 2Nd St Ste 5 , Gallup NM 87301-5898. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Khoury, Farid Elie can be contacted via phone (505) 979-0894.Contact Information
Primary practice address
1500 S 2Nd St Ste 5
Gallup NM 87301-5898
Phone: (505) 979-0894
Fax: (505) 726-2871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | NM536 | New Mexico |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | NM536 | New Mexico |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | NM536 | New Mexico |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | NM536 | New Mexico |
Profile Details
| NPI number | 1003999301 |
|---|---|
| LBN Legal business name | Khoury, Farid Elie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003999301 | NPPES |
| New Mexico | Other | 44840 | DAVIS VISION |
| New Mexico | MEDICAID | 52032019 | DAVIS VISION |
| New Mexico | Other | 25676 | DAVIS VISION |
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