Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JACK C. FARRIS O.D.
NPI 1407837776
Optometrist in Fort Meade, MD

Q: What is Jack Farris's NPI number?

The NPI number for Jack Farris is 1407837776. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Q: What is Jack Farris's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Farris was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 14, 2005

KIMBROUGH AMBULATORY CARE CENTER, ATTN: OPTOMETRY, FORT MEADE, MD 21044(301) 677-8378(301) 677-8077 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jack C. Farris O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK C. FARRIS O.D. (NPI 1407837776) is an individual optometrist in Fort Meade, Maryland, licensed in Virginia (0618000904) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1407837776

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. JACK C. FARRISCredential: O.D.

Location AddressKIMBROUGH AMBULATORY CARE CENTER, ATTN: OPTOMETRYFort Meade, MD 21044-5800

Mailing Address11601 Sun Circle WayColumbia, MD 21044-4375 · (443) 367-0287 · Fax (301) 677-8077

Phone(301) 677-8378

Fax(301) 677-8077

Sole ProprietorNo

Enumeration DateNovember 14, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1407837776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in VA · 0618000904

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

KIMBROUGH AMBULATORY CARE CENTER, Fort Meade, MD 21044

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Farris's NPI number?

The NPI number for Jack Farris is 1407837776. It was assigned to this individual provider in the NPPES registry on November 14, 2005.

Where is Jack Farris located?

Jack Farris practices at Kimbrough Ambulatory Care Center Attn: Optometry, Fort Meade, MD 21044. The listed phone number is (301) 677-8378.

What is Jack Farris's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Jack Farris was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.