Individual
DR. VINCENT ADRIAN FACCHINEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
341 BALTIMORE ROAD, SHIPPENSBURG, PA 17257
(717) 532-8806
(717) 532-3421
Mailing address
19336 LEITERSBURG PIKE, HAGERSTOWN, MD 21742
(717) 532-8806
(717) 532-3421
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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