National Provider Identifier Database

JOHN A FACCHIN, OD – NPI #1659336055
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

JOHN A FACCHIN, OD
111 GRAND AVENUE
MASSAPEQUA, NY11758
Phone: 516-798-2635
Fax: 516-798-0896
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Vision Therapy 152WV0400X

* Indicates primary specialty

NPI Profile & details for JOHN A FACCHIN

NPI Number 1659336055
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 04/19/2006
Last updated 03/20/2008 - About 18 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: TUV0052761
  • NY Medicaid: 01474419
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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