Individual provider Active NPI

Randall A. Faunce, O.D.

  • Optometrist
  • New Palestine, IN
National Provider Identifier
1740318005
Registry record updated Jan 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002075A Issued in IN
Practice address
6829 W Rockwood LN
New Palestine, IN 46163-8908
Phone
(317) 861-0755
NPI assigned
Mar 1, 2007
Last updated
Jan 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130501000126 IN Practitioner - Optometry 5395982847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1983
Medicare assignment
May accept Medicare assignment
Group practices
Family First Vision Care Indiana LLCGroup PAC ID 1557623063, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Douglas C Morrow OD PC Optometrist CurrentSince Sep 6, 2022 Accepting new patients
Family First Vision Care Indiana LLC Optometrist CurrentSince Nov 20, 2024 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.

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

Verify at the official NPI Registry.