NPIMap

Organization Active NPI

Dr. Jim I. Ciccarello & Eyecare Associates, PC

  • Optometrist
  • Princeton, NJ
National Provider Identifier
1811911423
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00545000 Issued in NJ
Legal business name
DR. JIM I. CICCARELLO & EYECARE ASSOCIATES, PC
Practice address
3535 U.S. Route 1
Marketfair Suite 400
Princeton, NJ 08540
Phone
(609) 520-1008
NPI assigned
Jul 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jim I. Ciccarello, O.D.
Title
President
Phone
(609) 520-1008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00545000 NJ Primary

Addresses

Primary practice location

3535 U.S. Route 1
Marketfair Suite 400
Princeton, NJ 08540

Mailing address

3535 U.S. Route 1
Marketfair Suite 400
Princeton, NJ 08540
Phone (609) 520-1008

Other names 1

  • EyeCare Associates, P.C. Other name

National Provider Directory

National Provider Directory

Locations

3535 US Highway 1
Ste 400
Princeton, NJ 08540
Phone (609) 520-1008

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811911423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 U.S. ROUTE 1",
            "address_2": "MARKETFAIR SUITE 400",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "08540",
            "telephone_number": "609-520-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 U.S. ROUTE 1",
            "address_2": "MARKETFAIR SUITE 400",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "08540",
            "telephone_number": "609-520-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JIM I. CICCARELLO & EYECARE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CICCARELLO",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-520-1008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00545000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeCare Associates, P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.