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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 Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
Indicates primary specialty

NPI Profile & details for JANICE K FAULKNER · (Female)

NPI # 1013050319
Status Active
Credentials OPTICIAN OWNER
Entity Individual
Enumeration date 02/15/2007
Last updated 07/01/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # DR3962
  • TX Medicaid 066429401
Hospital affiliation(s) Not Available
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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