National Provider Identifier Database

JANICE K FAULKNER, OPTICIAN OWNER – NPI #1013050319
Optician


Contact Information

JANICE K FAULKNER, OPTICIAN OWNER
1223 5TH AVE
FORT WORTH, TX76104
Phone: 817-870-1291
Fax: 817-870-4928
Website:
Specialty Taxonomy Code
* Optician 156FX1800X

* Indicates primary specialty

NPI Profile & details for JANICE K FAULKNER

NPI Number 1013050319
Credentials OPTICIAN OWNER
Entity Individual
Enumeration date 02/15/2007
Last updated 07/01/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • TX License #: DR3962
  • TX Medicaid: 066429401
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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