FIFTH AVENUE EYEWEAR (NPI# 1023140860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023140860 |
| Entity Type | Organization |
| Organization Name | FIFTH AVENUE EYEWEAR |
| Practice Address |
1223 5th Ave Fort Worth TX 76104-4304 |
| Practice Telephone | 8178701291 |
| Practice Fax Number | 8178704928 |
| Mailing Telephone | 8178701291 |
| Mailing Fax Number | 8178704928 |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JANICE KAY FAULKNER (OWNER) |
| Authorized Official Telephone | 8178701291 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
DR3962 | TX | Eye and Vision Services Providers |
| Street Address |
1223 5TH AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-4304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013050319 | Janice Kay Faulkner | Technician/Technologist | 1223 5th Ave, Fort Worth, TX 76104 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124504063 | National Vision Inc | Technician/Technologist | 2600 W 7th St Ste 145, Fort Worth, TX 76107-9301 | 2018-07-13 |
| 1366935165 | National Vision, Inc. | Technician/Technologist | 2644 East Berry Street, Fort Worth, TX 76105 | 2018-06-07 |
| 1447636600 | Zaheer Habibi | Technician/Technologist | 2536 Mall Cir, Suite D, Fort Worth, TX 76116-1545 | 2015-08-10 |
| 1902203805 | National Vision, Inc. | Technician/Technologist | 4811 Overton Ridge Blvd, Ste 228, Fort Worth, TX 76132-1972 | 2014-11-21 |
| 1851716625 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3016 Texas Sage Trl, Fort Worth, TX 76177-8589 | 2014-03-03 |
| 1972943355 | Wal-mart Stores Texas, LLC | Technician/Technologist | 2401 Avondale Haslet, Fort Worth, TX 76052 | 2013-06-28 |
| 1285978692 | Wal-mart Stores Texas LLC | Technician/Technologist | 2900 Renaissance Square, Fort Worth, TX 76105 | 2012-11-26 |
| 1558636324 | Christina Wolinski | Technician/Technologist | 3789 N Beach St, Suite 213, Fort Worth, TX 76137-3244 | 2012-03-13 |
| 1225205602 | Willie Jake Wright II | Technician/Technologist | 5862 S Hulen St, Fort Worth, TX 76132-2684 | 2008-05-14 |
| 1013050319 | Janice Kay Faulkner | Technician/Technologist | 1223 5th Ave, Fort Worth, TX 76104 | 2007-02-15 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
Please comment or provide details below to improve the information on FIFTH AVENUE EYEWEAR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.