Vincent R Facchiano, OD Valid NPI
Individual provider · Optometrist · Rockford, IL
- NPI
- 1053366591
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 046007568 (IL)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-05-23
- Last updated
- 2023-03-07
Practice location
E265 Cherryvale Mall
Rockford, IL 61112
(815) 332-2223