Organization Active NPI

Eugene C. Ciccarelli, MD PC

  • Ophthalmology Physician
  • Hyannis, MA
National Provider Identifier
1104007095
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
25231 Issued in MA
Legal business name
EUGENE C. CICCARELLI, MD PC
Practice address
116 Camp St
Hyannis, MA 02601-3008
Phone
(508) 771-3203
Fax
(508) 790-1943
NPI assigned
Nov 19, 2007
Last updated
Nov 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eugene C. Ciccarelli III, M.D.NPI 1285601013
Title
Presdient
Phone
(508) 771-3203

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 25231 MA Primary

Addresses

Primary practice location

116 Camp St
Hyannis, MA 02601-3008

Mailing address

116 Camp St
Hyannis, MA 02601-3008
Phone (508) 771-3203

National Provider Directory

National Provider Directory

Locations

116 Camp St
Hyannis, MA 02601
Phone (508) 775-5577

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1104007095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CAMP ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013008",
            "telephone_number": "508-771-3203",
            "fax_number": "508-790-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 CAMP ST",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "026013008",
            "telephone_number": "508-771-3203",
            "fax_number": "508-790-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE C. CICCARELLI, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "CICCARELLI",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESDIENT",
        "authorized_official_telephone_number": "508-771-3203",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "25231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyannis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.