Vincent Adrian Facchinei, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000795 Issued in PA

Practice address

341 Baltimore Road
Shippensburg, PA 17257

Phone

(717) 532-8806

Fax

(717) 532-3421

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Myeyedr Optometry of Pennsylvania, LLC

  dba MyEyeDr.

  • Optometrist
  • Carlisle, PA
  • NPI 1003264607
  NPD
• Myeyedr Optometry of Pennsylvania, LLC

  • Optometrist
  • Cranberry Township, PA
  • NPI 1093688491
  NPD
• Myeyedr Optometry of Pennsylvania, LLC

  dba MyEyeDr

  • Optometrist
  • New Kensington, PA
  • NPI 1689143703
  NPD

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1205911419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19336 LEITERSBURG PIKE",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "21742",
            "telephone_number": "717-532-8806",
            "fax_number": "717-532-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 BALTIMORE ROAD",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "17257",
            "telephone_number": "717-532-8806",
            "fax_number": "717-532-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACCHINEI",
        "first_name": "VINCENT",
        "middle_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410046908",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "FA647416",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012341110006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Drayer Physical Therapy Institute LLC
• Kelly Shetler Dryzal, LPC
• Kurt A Dunkel, MS, LPC
• Adam Samuel Dwyer
• Danelle Early, MSPT
• Valerie Nicole Fetter, M.S.
• Peyton Grace Finkle
• Miranda Sage Fisher, LAT, ATC
• Rebecca Sue Fitz, ATC
• Lisa Frampton, CRNP

• Optometrist in Shippensburg, PA
• Providers in Shippensburg, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.