NPIMap

Organization Active NPI

Faulkner Eye Clinic

  • Optometrist
  • Marion, AR
National Provider Identifier
1780742973
Registry record updated Jan 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2472 Issued in AR
Legal business name
FAULKNER EYE CLINIC
Practice address
1805 State Highway 77
Marion, AR 72364-9011
Phone
(870) 739-2020
Fax
(870) 739-2939
NPI assigned
Dec 4, 2006
Last updated
Jan 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2014

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

Authorized official

Name
Dr. Julie Stutzman Faulkner, OD
Title
Optometric Physician
Phone
(870) 739-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2472 AR Primary

Addresses

Primary practice location

1805 State Highway 77
Marion, AR 72364-9011

Mailing address

1805 State Highway 77
Suite 16
Marion, AR 72364-9011
Phone (870) 739-2020

Other names 1

  • Optometrist on Demand Former legal business name

National Provider Directory

National Provider Directory

Locations

1805 State Highway 77
Marion, AR 72364
Phone (870) 739-2020

1805 State Highway 77
Ste 16
Marion, AR 72364

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389225600000",
    "number": "1780742973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 STATE HIGHWAY 77",
            "address_2": "SUITE 16",
            "city": "MARION",
            "state": "AR",
            "postal_code": "723649011",
            "telephone_number": "870-739-2020",
            "fax_number": "870-739-2939"
        },
        {
            "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": {
        "organization_name": "FAULKNER EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2014-01-09",
        "status": "A",
        "authorized_official_last_name": "FAULKNER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "STUTZMAN",
        "authorized_official_title_or_position": "OPTOMETRIC PHYSICIAN",
        "authorized_official_telephone_number": "870-739-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optometrist on Demand",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Marion, AR

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.