Organization
MASSAPEQUA OPTOMETRIC CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN A FACCHIN O.D. (PRESIDENT)
(516) 798-2635
Entity
Organization
Contact information
Practice address
532 BROADWAY, MASSAPEQUA, NY 11758
(516) 798-2635
(516) 798-0896
Mailing address
532 BROADWAY, MASSAPEQUA, NY 11758-5004
(516) 798-2635
(516) 798-0896
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT005276
NY
Other
Enumeration date
05/05/2006
Last updated
08/21/2019
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