Individual provider · Type 1 NPI

Kenneth John Fazio, LDO

Optician · South Waltham, MA

NPI number 1457133308 Active

About NPI 1457133308

Kenneth John Fazio, LDO's National Provider Identifier is 1457133308, issued on Oct 16, 2023. The primary taxonomy on file is Optician (156FX1800X), and the practice location is in South Waltham, MA. The record was last updated on Nov 1, 2023.