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KENNETH JOHN FAZIO LDO
NPI 1457133308
Technician/Technologist - Optician in South Waltham, MA

Active since October 16, 2023
9 HOPE AVE, SOUTH WALTHAM, MA 02453(781) 216-1444 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 1, 2023, Oct 19, 2023 (2 updates tracked since 2023).

About Kenneth John Fazio Ldo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH JOHN FAZIO LDO (NPI 1457133308) is an individual optician in South Waltham, Massachusetts, licensed in Massachusetts (6391) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1457133308
Entity TypeIndividualMale
Primary Taxonomy156FX1800X
Provider Legal NameKENNETH JOHN FAZIOCredential: LDO
Location Address9 HOPE AVESouth Waltham, MA 02453-2741
Mailing Address9 Hope AveWaltham, MA 02453-2741 · (781) 216-1444
Phone(781) 216-1444
Sole ProprietorYes
Enumeration DateOctober 16, 2023
Last NPPES UpdateNovember 1, 20232 updates tracked since enumeration
NPPES CertifiedNovember 1, 2023
✔ NPI 1457133308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
License✔ Licensed in MA · 6391
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
9 HOPE AVE, South Waltham, MA 02453
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALYSSA BARZACH M.S., CCC-SLP
Speech-Language Pathologist
9 HOPE AVE
WALTHAM, MA 02453
Middlesex County (781) 216-2209
JULIE FRENCH LICSW
Social Worker (Clinical)
9 HOPE AVE
WALTHAM, MA 02453
Middlesex County (617) 355-6000
MARY WOODLAND LICSW
Social Worker (Clinical)
9 HOPE AVE
WALTHAM, MA 02453
Middlesex County (781) 216-3352
DR. AMANDA ROSE MICHEL PT, DPT
Physical Therapist
9 HOPE AVE
WALTHAM, MA 02453
Middlesex County (781) 216-2100
SHARON SHAHAM MS
Speech-Language Pathologist
9 HOPE AVE
WALTHAM, MA 02453
Middlesex County (781) 216-2200
TERRELL A CLARK PHD
Psychologist (Clinical Child & Adolescent)
9 HOPE AVE
WALTHAM, MA 02453
Middlesex County (781) 216-2200
TAMAR M GOMES AU.D.
Audiologist
9 HOPE AVE
WALTHAM, MA 02453
Middlesex County (781) 216-2304
NICOLE M. SEMON PT, DPT, PCS
Physical Therapist
9 HOPE AVE, DEPARTMENT OF PHYSICAL AND OCCUPATIONAL THERAPY
WALTHAM, MA 02453
Middlesex County (781) 216-3670

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Fazio's NPI number?

The NPI number for Kenneth Fazio is 1457133308. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Where is Kenneth Fazio located?

Kenneth Fazio practices at 9 Hope Ave, South Waltham, MA 02453. The listed phone number is (781) 216-1444.

What is Kenneth Fazio's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

When was this NPI record last updated?

The NPPES record for Kenneth Fazio was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.