Facchiano & Associates PC

NPI #1063423101 in Rockford, Illinois

Provider Information

NPI Number: 1063423101
Entity Type: Organization
Organization Name: Facchiano & Associates PC
Primary Specialty: Optometrist
Enumeration Date: Aug 11, 2006
Last Updated: May 18, 2011

Practice Location

Address: 7200 HARRISON AVE
Address 2: UNIT E265 CHERRYVALE MALL
City: Rockford
State: Illinois
ZIP Code: 61112-1017
Phone: (815) 332-2223

Authorized Official

Name: DR. VINCENT R FACCHIANO, O.D.
Title: PRESIDENT
Phone: (815) 332-2223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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