Vincent R Facchiano OD

NPI 1053366591 - Optometrist - 152W00000X

NPI Details
NPI 1053366591
Gender Male
Enumeration Date 05/23/2006
Last Updated 12/16/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
E265 CHERRYVALE MALL
ROCKFORD IL, 61112, US
Phone (815) 332-2223
Fax (815) 332-4488
Business Location
E265 CHERRYVALE MALL
ROCKFORD IL, 61112, US
Phone (815) 332-2223
Fax (815) 332-4488
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046007568
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According to our database, Dr. Vincent R Facchiano OD NPI is 1053366591, taxonomy code is 152W00000X and license number is 046007568, license state is located at Illinois. Vincent R Facchiano OD physically located at E265 Cherryvale Mall, Rockford IL, 61112. NPI Number Vincent R Facchiano OD has the Individual type.

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1053366591 NPI number is provided on an as is basis without warranty of any kind. 1053366591 is maintained by the National Plan & Provider Enumeration System. The contents of Vincent R Facchiano OD are for informational purposes only.