John A. Facchin, O.D.

LBN: John A. Facchin, O.D.
John A. Facchin, O.D. is an health care organization with primary practice located at 111 Grand Ave , Massapequa NY 11758-4905. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. John A. Facchin, O.D. can be contacted via phone (516) 798-2635, or through Facchin, John A. via phone (516) 798-2635.

Contact Information

Primary practice address
111 Grand Ave Massapequa NY 11758-4905
Fax:
Website:
Authorized official contact:
Name: Facchin, John A. Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 0978400001 New York

Profile Details

NPI number 1871776450
LBN Legal business name John A. Facchin, O.D.
DBA Doing business as
Authorized official Facchin, John A. Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2007
Last updated Nov 5th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871776450 NPPES
New York MEDICAID 01474419

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