Individual
DR. VINCENT ADRIAN FACCHINEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000795
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012341110006
—
PA
01
—
410046908
RAILROAD MEDICARE
—
01
—
FA647416
HIGHMARK BLUE SHIELD
PA
Enumeration date
10/26/2006
Last updated
12/07/2017
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