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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JOHN A FACCHIN, OD

Active Sole Proprietor

DR. JOHN A FACCHIN, OD is a Optometrist healthcare provider located in MASSAPEQUA, New York. NPI 1659336055 is currently active in the NPPES registry. Verify at CMS.

Optometrist · MASSAPEQUA, NY

Registration Details

NPI Number
1659336055
Provider Type
Individual
Gender
Male
NPI Issued
Apr 19, 2006 (20.354380723288 yrs)
Last Updated
Mar 20, 2008
Licenses
TUV0052761 (NY)
TUV0052761 (NY)
Sole Proprietor
Yes

Practice Information

Address
111 GRAND AVENUE
MASSAPEQUA, NY, 11758
Browse NY providers · Browse ZIP 11758
Phone
5167982635
Fax
5167980896
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Vision Therapy Optometrist

Other Optometrist Providers in MASSAPEQUA, NY

Name Credential NPI
DR. MICHAEL G DORFMAN OD 1114980513
YAEL E. GATENIO O.D. 1750462156
DR. JEFFREY M. ROSEN O.D. 1598895898
DR. DANIEL PAUL SFERLAZZO 1932430493
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.