Organization
BROOKFIELD FAMILY EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT FACCHIANO O.D. (CFO/SECRETARY)
(815) 885-3230
Entity
Organization
Contact information
Practice address
17550 W BLUEMOUND RD STE D, BROOKFIELD, WI 53045-2928
(262) 784-3700
Mailing address
PO BOX 427, BELVIDERE, IL 61008-0427
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
WI
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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