Jimmie Ignazio Ciccarello, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 5167 Issued in FL

Practice address

620 Seaside Dr
Tarpon Springs, FL 34689-2293

Phone

(609) 458-4541

NPI assigned

Jun 16, 2006

Last updated

Apr 18, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care Associates of PrincetonGroup PAC ID 5991924680, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Care Associates of Princeton

  dba Eye Care Associates

  • Optometrist
  • Princeton, NJ
  • NPI 1255744728
  Medicare reassignment Care Compare group
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Orlando, FL
  • NPI 1164308771
  Medicare reassignment
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Tampa, FL
  • NPI 1114012689
  NPD
• Eye Doctors Optical Outlets PA

  • Optometrist
  • Orlando, FL
  • NPI 1275724213
  NPD

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460937600000",
    "number": "1144264110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SEASIDE DR",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346892293",
            "telephone_number": "609-458-4541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SEASIDE DR",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346892293",
            "telephone_number": "609-458-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCARELLO",
        "first_name": "JIMMIE",
        "middle_name": "IGNAZIO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2016-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00545000",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 5167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2204890",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NJ5450",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbra J Chiacchio, BSW
• Mona Chiles, MA SLP-CCC
• Alyson Chlopek, DPT, PT
• Robert Matthew Christ, D.M.D.
• Megan Christiansen
• Greyby Cid Lopez
• Cindi a Yantz MD, MSPH, LLC
• Maria Pseftelis Ciraldo, FNP
• CK Pharma (Anclote pharmacy)
• Kesha Joelle Clark, ARNP

• Optometrist in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.