Individual provider Active NPI

John M Cicchini, O.D.

  • Optometrist
  • Belle Vernon, PA
National Provider Identifier
1497744098
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG00789 Issued in PA
Practice address
527 Broad Ave
Belle Vernon, PA 15012-1426
Phone
(724) 929-7737
Fax
(724) 929-9639
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG00789 PA Primary

Addresses

Primary practice location

527 Broad Ave
Belle Vernon, PA 15012-1426

Mailing address

527 Broad Ave
Belle Vernon, PA 15012-1426
Phone (724) 929-7737

Other identifiers 1

IdentifierTypeStateIssuer
DF7937OtherPARETIRE RAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070417000267 PA Practitioner - Optometry 8224081377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

527 Broad Ave
Belle Vernon, PA 15012-1426
Phone (724) 929-7737

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG00789PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Check Eye Group, P.C. Optometrist CurrentSince Nov 24, 2004 Accepting new patients
Family Vision Center Optometrist PastSince Jan 1, 2007 Accepting new patients

Locations

527 Broad Ave
Belle Vernon, PA 15012
Phone (724) 929-7737

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1497744098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 BROAD AVE",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150121426",
            "telephone_number": "724-929-7737",
            "fax_number": "724-929-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 BROAD AVE",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150121426",
            "telephone_number": "724-929-7737",
            "fax_number": "724-929-9639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICCHINI",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG00789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETIRE RAILROAD MEDICARE",
            "identifier": "DF7937",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Vernon, PA

Sources for this page

Verify at the official NPI Registry.