Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy A Fava, OPTICIAN

Individual provider Optician · NPI 1508226762

Timothy A Fava, OPTICIAN is an Optician in Brooklyn, Connecticut. Practices as a sole proprietor. Licensed in Connecticut, Massachusetts and Rhode Island.

Licensed in
CT, MA, RI
In the registry since
2016
Specialties on file
3

Practice location Address checks out

450 Providence Rd
Brooklyn, CT 06234-1823
Phone: (860) 412-5141
Fax: (860) 774-1656
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 1629 (CT)
Optician Taxonomy 156FX1800X · Licence 6151 (MA)
Optician Taxonomy 156FX1800X · Licence OP0035 (RI)

Record details

NPI number1508226762
Entity typeIndividual (Type 1)
GenderMale
Credentials OPTICIAN
Sole proprietorYes
NPI enumeratedMarch 2, 2016
Last updated in NPPESMarch 2, 2016

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