Timothy A Fava, OPTICIAN
Technician/Technologist, Optician in Brooklyn, Connecticut
1508226762- Practice location
- 450 Providence RD, Brooklyn, CT 06234-1823
- Phone
- 860-412-5141
- Fax
- 860-774-1656
- Last updated
- March 2, 2016
Timothy A Fava is a Technician/Technologist, Optician based in Brooklyn, CT. Timothy A Fava practices in Brooklyn, CT and has the professional credentials of OPTICIAN. The NPI Number for Timothy A Fava is 1508226762 and holds a License No. 1629 (CT). The current practice location address for Timothy A Fava is 450 Providence RD, Brooklyn, CT 06234-1823 and can be reached out via phone at 860-412-5141 and via fax at 860-774-1656.
Provider Profile Details
- NPI Number
- 1508226762
- Provider Name
- Timothy A Fava
- Credential
- OPTICIAN
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 450 Providence RD, Brooklyn, CT 06234-1823
- Phone Number
- 860-412-5141
- Fax Number
- 860-774-1656
- Primary Taxonomy
- Technician/Technologist, Optician · 156FX1800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 2, 2016
- Last Update Date
- March 2, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 450 Providence RD
Brooklyn, CT 06234-1823 - City
- Brooklyn
- State
- Connecticut
- Zip
- 06234-1823
- Phone Number
- 860-412-5141
- Fax Number
- 860-774-1656
Provider Business Mailing Address Details
- Address
- 450 Providence RD
Brooklyn, CT 06234-1823 - City
- Brooklyn
- State
- CT
- Zip
- 06234-1823
- Phone Number
- 860-412-5141
- Fax Number
- 860-774-1656
License Information
- License Number (1)
- 1629
- License State (1)
- CT
- Taxonomy (1)
- Technician/Technologist, Optician · 156FX1800X · Primary
- License Number (2)
- 6151
- License State (2)
- MA
- Taxonomy (2)
- Technician/Technologist, Optician · 156FX1800X
- License Number (3)
- OP0035
- License State (3)
- RI
- Taxonomy (3)
- Technician/Technologist, Optician · 156FX1800X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Timothy A Fava, OPTICIAN?
The NPI number of Timothy A Fava, OPTICIAN is 1508226762. It was assigned on March 2, 2016 and is currently active in the NPPES registry.
What is the specialty of Timothy A Fava, OPTICIAN?
Timothy A Fava, OPTICIAN is registered under the primary taxonomy Technician/Technologist, Optician (code 156FX1800X), licensed in CT under license number 1629.
Where does Timothy A Fava, OPTICIAN practice?
The practice location is 450 Providence RD, Brooklyn, CT 06234-1823. The office can be reached at 860-412-5141 (phone) or 860-774-1656 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508226762 directly on the NPPES registry website.