Active NPI
Randall A. Faunce, O.D.
- Optometrist
- New Palestine, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18002075A
- Practice address
- 6829 W Rockwood LN
New Palestine, IN 46163-8908 - Phone
- (317) 861-0755
- NPI assigned
- Mar 1, 2007
- Last updated
- Jan 25, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002075A | IN | Primary |
Addresses
Primary practice location
6829 W Rockwood LN
New Palestine, IN 46163-8908
Mailing address
PO Box 39208
Indianapolis, IN 46239-0208
Phone (317) 861-0755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Indiana University - School of Optometry, 1983
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
4201 Coldwater Rd
Fort Wayne, IN 46805-1113
Phone (260) 483-9568
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas C Morrow OD PC | Optometrist | Current | Accepting new patients |
| Family First Vision Care Indiana LLC | Optometrist | Current | Accepting new patients |
| Eyecare Indiana II, P.C. | Optometrist | Past | Accepting new patients |
Locations
1212 N Main St
Auburn, IN 46706
Phone (260) 925-1916
4150 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 483-9568
4201 Coldwater Rd
Fort Wayne, IN 46805
Phone (260) 483-9568
6502 Grape Rd
Mishawaka, IN 46545
Phone (574) 227-7723
316 S Hamilton Rd
Gahanna, OH 43230
Organizations & group practices 3
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.
-
- Optometrist
- Mishawaka, IN
- NPI 1922525427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390608000000",
"number": "1740318005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 39208",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462390208",
"telephone_number": "317-861-0755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6829 W ROCKWOOD LN",
"city": "NEW PALESTINE",
"state": "IN",
"postal_code": "461638908",
"telephone_number": "317-861-0755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUNCE",
"first_name": "RANDALL",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2014-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18002075A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Palestine, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.