Eugene C. Ciccarelli, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25231 Issued in MA

Practice address

116 Camp St
Hyannis, MA 02601-3008

Phone

(508) 775-5577

Fax

(508) 790-1943

NPI assigned

Mar 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1285601013",
    "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": "508-775-5577",
            "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": "508-775-5577",
            "fax_number": "508-790-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCARELLI",
        "first_name": "EUGENE",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "25231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9756175",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hwayoung Cho, M.A, M.S
• Kevin W. Choi, D.M.D.
• Nisa Christie, PT
• Rhiannon Elizabeth Chubb, MD
• Molly Chvatal
• Victor J Cillis, M.D.
• James M Citrone, PHARMD
• Marissa Ann Clark
• Nathaniel G Clark, MD
• Michelle Elise Clausen, CNM

• 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 Jul 9, 2012; 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.