Individual
DR. RANDALL A. FAUNCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6829 W ROCKWOOD LN, NEW PALESTINE, IN 46163-8908
(317) 861-0755
Mailing address
PO BOX 39208, INDIANAPOLIS, IN 46239-0208
(317) 861-0755
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002075A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201140740
—
IN
Enumeration date
03/01/2007
Last updated
01/25/2014
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