Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY A FAVA, OPTICIAN
Active Sole ProprietorTIMOTHY A FAVA, OPTICIAN is a Optician, Dispensing healthcare provider located in BROOKLYN, Connecticut. NPI 1508226762 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · BROOKLYN, CT
Registration Details
- NPI Number
- 1508226762
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 2, 2016 (10.415106947572 yrs)
- Last Updated
- Mar 2, 2016
- Licenses
-
1629 (CT)6151 (MA)OP0035 (RI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
450 PROVIDENCE RDBROOKLYN, CT, 062341823Browse CT providers · Browse ZIP 06234
- Phone
- 8604125141
- Fax
- 8607741656
- Primary Specialty
-
Optician, Dispensing
156FX1800X
- Additional Specialty
- Optician, Dispensing
- Additional Specialty
- Optician, Dispensing
Other Optician, Dispensing Providers in BROOKLYN, CT
| Name | Credential | NPI |
|---|---|---|
| MS. HAILEY OLSON HICKS | LO, ABOC, NCLEC | 1124616826 |
| LUKE R NEARINE | — | 1205598786 |
| KERI MCCLAIN | LO | 1134933898 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.