Facchiano & Associates PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

00467568 Issued in IL

Legal business name

FACCHIANO & ASSOCIATES PC

Practice address

7200 Harrison Ave
Unit E265 Cherryvale Mall
Rockford, IL 61112-1017

Phone

(815) 332-2223

Fax

(815) 332-4488

NPI assigned

Aug 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Vincent R Facchiano, O.D.

Title

President

Phone

(815) 332-2223

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1063423101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 HARRISON AVE",
            "address_2": "UNIT E265 CHERRYVALE MALL",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611121017",
            "telephone_number": "815-332-2223",
            "fax_number": "815-332-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 HARRISON AVE",
            "address_2": "UNIT E265 CHERRYVALE MALL",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611121017",
            "telephone_number": "815-332-2223",
            "fax_number": "815-332-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACCHIANO & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "FACCHIANO",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-332-2223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "00467568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evolve Chiropractic Rockford PLLC
• Eyemart Express LLC
• Eyemart Express, LTD.
• Andrew Benjamin Eytalis
• April Faas
• Vincent R Facchiano, OD
• Yazan Fahmawi, MD
• Mary C Fairchild, LCSW
• Fairhaven Christian Retirement Center
• Fairview Nursing Plaza, Inc.

• Optometrist in Rockford, IL
• Providers in Rockford, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.