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RENEE MANSFIELD FAULCONER O.D.
NPI 1386822310
Optometrist in Tyler, TX

Active since January 31, 2008
4824 S BROADWAY AVE, TYLER, TX 75703(903) 581-2020 Get Directions Write a Review

NPPES record last updated: January 31, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renee Mansfield Faulconer O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENEE MANSFIELD FAULCONER O.D. (NPI 1386822310) is an individual optometrist in Tyler, Texas, licensed in Texas (4997-TG) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1386822310
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameRENEE MANSFIELD FAULCONERCredential: O.D.
Location Address4824 S BROADWAY AVETyler, TX 75703-1312
Mailing Address2800 Woodlake DrTyler, TX 75701-6968 · (903) 595-8977
Phone(903) 581-2020
Sole ProprietorYes
Enumeration DateJanuary 31, 2008
✔ NPI 1386822310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 4997-TG
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4824 S BROADWAY AVE, Tyler, TX 75703
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

20/20 ICARE TYLER PLLC
Optometrist
4824 S BROADWAY AVE
TYLER, TX 75703
Smith County (903) 581-2020
DR. EUGENE BENNETT OD
Optometrist
4824 S BROADWAY AVE
TYLER, TX 75703
Smith County (903) 581-2020
RAYBURN S HADDON III OD
Optometrist
4824 S BROADWAY AVE
TYLER, TX 75703
Smith County (901) 358-1202
EUGENE D. BENNETT
Optometrist
4824 S BROADWAY AVE
TYLER, TX 75703
Smith County (903) 581-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renee Faulconer's NPI number?

The NPI number for Renee Faulconer is 1386822310. It was assigned to this individual provider in the NPPES registry on January 31, 2008.

Where is Renee Faulconer located?

Renee Faulconer practices at 4824 S Broadway Ave, Tyler, TX 75703. The listed phone number is (903) 581-2020.

What is Renee Faulconer's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Renee Faulconer was last updated on January 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.