Wade Faulkner, MD, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

WADE FAULKNER, MD, PC

Doing business as

VisionAmerica

Practice address

3290 Dauphin St
Suite 401
Mobile, AL 36606-4062

Phone

(251) 471-3309

Fax

(251) 471-5046

NPI assigned

Jul 4, 2006

Last updated

Jun 12, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Henry Wade Faulkner, M.D.NPI 1578593653

Title

Owner/President

Phone

(251) 471-3309

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• VisionAmerica Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Henry Wade Faulkner, M.D.

  • Ophthalmology Physician
  • Mobile, AL
  • NPI 1578593653
  NPD (past) Authorized official

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1740210822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 STATE FARM PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352097181",
            "telephone_number": "205-943-4650",
            "fax_number": "205-943-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 DAUPHIN ST",
            "address_2": "SUITE 401",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366064062",
            "telephone_number": "251-471-3309",
            "fax_number": "251-471-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WADE FAULKNER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "251-471-3309",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740210822",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PGBA",
            "identifier": "DB0731",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529919050",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VisionAmerica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marina Von Zimmerman
• Mary Vu, MD
• Quyen Vu, PHARMD
• Tung Van Vu, M.D.
• Cynthia Humble Vuyovich, CRNP
• Benjamin Wade
• Mason Alexander Wade, CRNP
• Philip M. Wade, MD
• Tiffany Harris Wade, FNP-C
• Deena Wafadari R, M.D.

• Ophthalmology Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Ophthalmology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.