Provider Demographics
NPI:1336213180
Name:FALDEN, ALLISON ANN (OD)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:ANN
Last Name:FALDEN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:ANN
Other - Last Name:STANTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:880 A1A N STE 13
Mailing Address - Street 2:
Mailing Address - City:PONTE VEDRA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32082-3228
Mailing Address - Country:US
Mailing Address - Phone:954-655-6807
Mailing Address - Fax:
Practice Address - Street 1:880 A1A N STE 13
Practice Address - Street 2:
Practice Address - City:PONTE VEDRA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32082-3228
Practice Address - Country:US
Practice Address - Phone:954-655-6807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4176152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist