Organization Active NPI

Vincent Facchiano and Associates

  • Optometrist
  • Rockford, IL
National Provider Identifier
1407044704
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Oct 11, 2007

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.