Organization
FACCHIANO & ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT R FACCHIANO O.D. (PRESIDENT)
(815) 332-2223
Entity
Organization
Contact information
Practice address
7200 HARRISON AVE, UNIT E265 CHERRYVALE MALL, ROCKFORD, IL 61112-1017
(815) 332-2223
(815) 332-4488
Mailing address
7200 HARRISON AVE, UNIT E265 CHERRYVALE MALL, ROCKFORD, IL 61112-1017
(815) 332-2223
(815) 332-4488
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
00467568
IL
Other
Enumeration date
08/11/2006
Last updated
05/18/2011
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