KENNETH JOHN FAZIO (LDO) – Optician, NPI 1457133308

KENNETH JOHN FAZIO (LDO) is a healthcare provider. based in Waltham, Massachusetts. specializing in Optician. They hold the professional credentials LDO. They hold a License No. 6391 (MA). The NPI Number for KENNETH JOHN FAZIO (LDO) is 1457133308

Main info

Male
Sole Proprietor
Name
KENNETH JOHN FAZIO (LDO)
NPI
1457133308
Phone
(781) 216-1444
Address
9 HOPE AVE
Enumeration Date
16 October 2023
Last Update Date
1 November 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

Provider Addresses for KENNETH JOHN FAZIO (LDO)

  • 9 HOPE AVE

    WALTHAM, MA 024532741

    Phone: (781) 216-1444

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02453)

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Reviews

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Frequently asked questions

How do payers reference KENNETH JOHN FAZIO (LDO)?
For KENNETH JOHN FAZIO (LDO), use NPI 1457133308 as the unique 10-digit identifier.
Is KENNETH JOHN FAZIO (LDO) still an active registrant?
KENNETH JOHN FAZIO (LDO) carries an active NPI according to the public dataset.
What expertise is attributed to KENNETH JOHN FAZIO (LDO)?
KENNETH JOHN FAZIO (LDO)'s specialty line reads Optician. Clinical services aligned with this taxonomy classification.
Is KENNETH JOHN FAZIO (LDO) located near Waltham?
KENNETH JOHN FAZIO (LDO) currently maps to Waltham, Massachusetts in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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