NPIMap

Organization Active NPI

Vincent R Facchiano & Assoc SC

  • Optometrist
  • Madison, WI
National Provider Identifier
1942211925
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1865035 Issued in WI
Legal business name
VINCENT R FACCHIANO & ASSOC SC
Practice address
1 W Towne Mall
Madison, WI 53719-1019
Phone
(608) 829-2440
Fax
(608) 833-2131
NPI assigned
Aug 11, 2006
Last updated
Nov 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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.NPI 1053366591
Title
President
Phone
(815) 332-2223

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1865035 WI Primary

Addresses

Primary practice location

1 W Towne Mall
Madison, WI 53719-1019

Mailing address

PO Box 427
Belvidere, IL 61008-0427
Phone (815) 332-2223

National Provider Directory

National Provider Directory

Locations

1 W Towne Mall
Madison, WI 53719
Phone (608) 829-2040

102 W Towne Mall
Madison, WI 53719
Phone (608) 829-2440

27 East Towne Mall
Madison, WI 53704
Phone (608) 246-0654

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1942211925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610080427",
            "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": "1 W TOWNE MALL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191019",
            "telephone_number": "608-829-2440",
            "fax_number": "608-833-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINCENT R FACCHIANO & ASSOC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2009-11-16",
        "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": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1865035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.