Eugene C. Ciccarelli, MD PC

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

Organization subpart

No

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.

Title

Presdient

Phone

(508) 771-3203

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9756175",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA BLUE SHIELD GROUP #",
            "identifier": "M12071",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER GROUP #",
            "identifier": "M12071",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond Theodore Escher, O.D.
• Luke Eskelund
• Malek Esrawi, DMD, FICOI,DICOI, PC
• Essex Pavilion, LLC
• George W. Etre, D.D.S.
• Paul William Evans, M.D.
• Eyeglasses One
• Donna Fain
• Suzanne G Faith, RN
• Joseph Michael Falank, PA-C, MSPAS

• Ophthalmology Physician in Hyannis, MA
• Providers in Hyannis, MA by specialty
• Ophthalmology Physician in Massachusetts

• 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.