Faunce, Randall A.

Faunce, Randall A. is an individual health care provider with primary practice located at 6829 W Rockwood Ln , New Palestine IN 46163-8908. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Faunce, Randall A. can be contacted via phone (317) 861-0755.

Contact Information

Primary practice address
6829 W Rockwood Ln New Palestine IN 46163-8908
Phone: (317) 861-0755
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002075A Indiana

Profile Details

NPI number 1740318005
LBN Legal business name Faunce, Randall A.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2007
Last updated Jan 25th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740318005 NPPES
Indiana MEDICAID 201140740

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