Dr Jimmie Ignazio Ciccarello, OD | |
620 Seaside Dr, Tarpon Springs, FL 34689-2293 | |
(609) 458-4541 | |
Not Available |
Full Name | Dr Jimmie Ignazio Ciccarello |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 29 Years |
Location | 620 Seaside Dr, Tarpon Springs, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144264110 | NPI | - | NPPES |
2204890 | Other | NJ | AETNA |
NJ5450 | Other | NJ | EYEMED |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 27OA00545000 (New Jersey) | Secondary |
152W00000X | Optometrist | OPC 5167 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eye Care Associates Of Princeton | 5991924680 | 6 |
Provider Name | Eye Care Associates Of Princeton |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255744728 PECOS PAC ID: 5991924680 Enrollment ID: O20140911000119 |
Mailing Address | Practice Location Address |
---|---|
Dr Jimmie Ignazio Ciccarello, OD 620 Seaside Dr, Tarpon Springs, FL 34689-2293 Ph: (609) 458-4541 | Dr Jimmie Ignazio Ciccarello, OD 620 Seaside Dr, Tarpon Springs, FL 34689-2293 Ph: (609) 458-4541 |
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