Healthcare Provider Details

I. General information

NPI: 1639204589
Provider Name (Legal Business Name): DUSK JAYE FALKNER-MARTINEZ O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7822 N UNIVERSITY DR
TAMARAC FL
33321-2114
US

IV. Provider business mailing address

710 CONCH SHELL WAY
PLANTATION FL
33324-2910
US

V. Phone/Fax

Practice location:
  • Phone: 954-726-0204
  • Fax: 954-721-1578
Mailing address:
  • Phone: 954-290-9545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPC 3110
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: