Active NPI
Vincent Facchiano and Associates
- Optometrist
- Rockford, IL
National Provider Identifier
1407044704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- VINCENT FACCHIANO AND ASSOCIATES
- Practice address
- 7200 Harrison Ave # U265
Rockford, IL 61112-1017 - Phone
- (815) 332-2223
- Fax
- (815) 332-4488
- NPI assigned
- Oct 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Jillian Marie Loebach, O.D.
- Title
- Optometrist
- Phone
- (815) 332-2223
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | IL | Primary |
Addresses
Primary practice location
7200 Harrison Ave # U265
Rockford, IL 61112-1017
Mailing address
7200 Harrison Ave # U265
Rockford, IL 61112-1017
Phone (815) 332-2223
National Provider Directory
National Provider DirectoryLocations
7200 Harrison Ave
#U265
Rockford, IL 61112
Phone (815) 332-2223
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Rockford, IL
- NPI 1720003767
-
- Optometrist
- Downers Grove, IL
- NPI 1013391077
-
- Optometrist
- Rockford, IL
- NPI 1053366591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192060800000",
"number": "1407044704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 HARRISON AVE # U265",
"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 # U265",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611121017",
"telephone_number": "815-332-2223",
"fax_number": "815-332-4488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VINCENT FACCHIANO AND ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-11",
"last_updated": "2007-10-11",
"status": "A",
"authorized_official_last_name": "LOEBACH",
"authorized_official_first_name": "JILLIAN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "815-332-2223",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.