Timothy Fava, OPTICIAN

NPI 1508226762 · on the registry since 2016 · sole proprietor

Practice

Address: 450 Providence Rd
Brooklyn, CT 06234
Phone: (860) 412-5141
Fax: (860) 774-1656
Organisation at this address: Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Quiet Corner Eyecare, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 156FX1800X
156FX1800X
Also registered as: 156FX1800X
156FX1800X
Licence states on file: CT, MA, RI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2016-03-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut