Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Renee Mansfield Faulconer, OD

Individual provider Optometrist · NPI 1386822310

Renee Mansfield Faulconer, OD is an Optometrist in Tyler, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2008
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

4824 S Broadway Ave
Tyler, TX 75703-1312
Phone: (903) 581-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 4997-TG (TX)

Record details

NPI number1386822310
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJanuary 31, 2008
Last updated in NPPESJanuary 31, 2008

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