NPI 1063423101

Facchiano & Associates PC

Organisation Optometrist Rockford, IL

Practice location

Address: 7200 Harrison Ave Unit E265 Cherryvale Mall, Rockford, IL 61112-1017
Phone: (815) 332-2223
Fax: (815) 332-4488

Authorised official

Name: Vincent R Facchiano
Title: President
Phone: (815) 332-2223

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 00467568 (IL)

Other Optometrist providers in Illinois →

Registry record

NPI: 1063423101
Entity type: Organization
NPI issued: 11 Aug 2006
Record last updated: 18 May 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.