Oak Creek Family Eye Care LLC

NPI #1508230889 in Oak Creek, Wisconsin

Provider Information

NPI Number: 1508230889
Entity Type: Organization
Organization Name: Oak Creek Family Eye Care LLC
Primary Specialty: Optometrist
Enumeration Date: Nov 24, 2015
Last Updated: Nov 24, 2015

Practice Location

Address: 8907 S HOWELL AVE STE 600
City: Oak Creek
State: Wisconsin
ZIP Code: 53154-4461
Phone: (414) 764-2651

Authorized Official

Name: VINCENT FACCHIANO, OD
Title: MEMBER/OPTOMETRIST
Phone: (414) 764-2651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X
Optometrist	152W00000X	Primary

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