David Harold Faulks, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD0000001783 Issued in TN

Practice address

610 Henslee Dr
Dickson, TN 37055-1211

Phone

(615) 446-2020

Fax

(615) 441-2020

NPI assigned

Mar 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Optometry

Education

Southern College of Optometry, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DRS. Tidwell, Faulks, and Allen - Optometry, PLLCGroup PAC ID 5597886069, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• DRS. Tidwell, Faulks, and Allen - Optometry, PLLC

  • Optometrist
  • Dickson, TN
  • NPI 1194920967
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982673935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 HENSLEE DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551211",
            "telephone_number": "615-446-2020",
            "fax_number": "615-441-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 HENSLEE DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551211",
            "telephone_number": "615-446-2020",
            "fax_number": "615-441-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKS",
        "first_name": "DAVID",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD0000001783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMERC",
            "identifier": "1250080001",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "3119266",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3942446",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mary E. V. Ferebee, NP
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• Optometrist in Dickson, TN
• Providers in Dickson, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.