Kenneth John Fazio, LDO
Kenneth John Fazio, LDO is an Optician in South Waltham, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.
- Licensed in
- MA
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
9 Hope AveSouth Waltham, MA 02453-2741
Phone: (781) 216-1444
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 6391 (MA) |
|---|---|
| Optician | Taxonomy 156FX1800X |
Record details
| NPI number | 1457133308 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LDO |
| Sole proprietor | Yes |
| NPI enumerated | October 16, 2023 |
| Last updated in NPPES | November 1, 2023 |
| Certification date | November 1, 2023 |