Organization
DR. V. FACCHIANO & ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT FACCHIANO OD (PRESIDENT)
(815) 332-2223
Entity
Organization
Contact information
Practice address
27 E TOWNE MALL, MADISON, WI 53704-3711
(608) 246-0654
(608) 246-0423
Mailing address
PO BOX 427, BELVIDERE, IL 61008-0427
(815) 332-2223
(815) 332-4488
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1865035
WI
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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