John a. Facchin, O.D.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0978400001 Issued in NY

Legal business name

JOHN A. FACCHIN, O.D.

Practice address

111 Grand Ave
Massapequa, NY 11758-4905

Phone

(516) 798-2635

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John A. Facchin, O.D.NPI 1659336055

Title

Sole Proprietor

Phone

(516) 798-2635

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John A Facchin, OD

  • Optometrist
  • Massapequa, NY
  • NPI 1659336055
  NPD (past) Authorized official

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1871776450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MAPLE ST",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117585718",
            "telephone_number": "516-220-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GRAND AVE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117584905",
            "telephone_number": "516-798-2635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. FACCHIN, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "FACCHIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "516-798-2635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "0978400001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01474419",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jay B. Lubliner, DMD, PLLC
• Daphney Jean-Pierre
• Jeff Silber MD PC
• Jeffrey D. Hart DO PC (Hart Orthopedics)
• Abigail Jimenez, MSN, RN
• John Bianchini PT PC
• Michelle Taunette Johnson-Ruiz, RN
• Danielle Johnson
• Gloria Maria Johnson, NP
• Nakia Shevette Johnson, LMT

• Durable Medical Equipment & Medical Supplies in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.