Julie Ann Stutzman Faulkner, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2472 Issued in AR

Practice address

1805 State Highway 77
Marion, AR 72364-9011

Phone

(870) 739-2020

Fax

(870) 739-2939

NPI assigned

Aug 2, 2006

Last updated

Jan 9, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Julie Ann Stutzman Former name

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Faulkner Eye Clinic

  • Optometrist
  • Marion, AR
  • NPI 1780742973
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389225600000",
    "number": "1356358493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 STATE HIGHWAY 77",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723649011",
            "telephone_number": "870-739-4727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 STATE HIGHWAY 77",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723649011",
            "telephone_number": "870-739-2020",
            "fax_number": "870-739-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTZMAN FAULKNER",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2014-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "135204722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "STUTZMAN",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffany Rene Smith
• Lorenzo Soto
• Emily Ann Stanford, SLP
• Robin Steele, MHPP
• Stephen R. Wah, D.D.S.
• Superintendent of Marion School District
• Shauna Tanner, D.D.S.
• April Dawn Taylor
• Whitney Nicole Taylor
• John S Teed, DDS

• Optometrist in Marion, AR
• Providers in Marion, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.