Active NPI
Eugene C. Ciccarelli, MD PC
- Ophthalmology Physician
- Hyannis, MA
National Provider Identifier
1104007095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 25231
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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 DirectoryLocations
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.
-
- Ophthalmology Physician
- Hyannis, MA
- NPI 1285601013
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.