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Kenneth Fazio, LDO
NPI 1457133308 · Optician · South Waltham, MA
Kenneth Fazio, LDO is a Optician provider in South Waltham, MA (NPI 1457133308).
Provider details
- NPI number
- 1457133308
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Eye and Vision Services Providers
- Optician156FX1800X
Eye and Vision Services Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9 Hope Ave
South Waltham, MA 02453-2741
Phone: (781) 216-1444
Street-level locationGet directions
Mailing address
9 Hope Ave
Waltham, MA 02453-2741
Registry dates
- Enumerated
- 2023-10-16
- Last updated
- 2023-11-01
- Certified
- 2023-11-01
Frequently asked questions
- What is Kenneth Fazio's NPI number?
- Kenneth Fazio's National Provider Identifier (NPI) is 1457133308, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Fazio's specialty?
- Kenneth Fazio is listed in the NPPES registry with a primary specialty of Optician (Eye and Vision Services Providers).
- Where is Kenneth Fazio located?
- Kenneth Fazio's practice location on file with NPPES is 9 Hope Ave, South Waltham, MA 02453-2741.
- What is Kenneth Fazio's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Fazio is (781) 216-1444.
- Is Kenneth Fazio's NPI active?
- Yes — Kenneth Fazio's NPI (1457133308) is active in the NPPES registry as of the last update on 2023-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.