Active NPI
Charles W Ficco, O.D.
- Optometrist
- Cumming, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT01583
- Practice address
- 970 Sanders Rd Ste 100
Cumming, GA 30041 - Phone
- (678) 381-2020
- Fax
- (678) 381-2015
- NPI assigned
- Sep 12, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT01583 | GA | Primary |
Addresses
Primary practice location
970 Sanders Rd Ste 100
Cumming, GA 30041
Mailing address
1300 Peachtree Industrial Blvd Ste 1201
Suwanee, GA 30024-4550
Phone (678) 381-2020
Other practice location 1
1000 Corporate Center Dr
Ste 100
Morrow, GA 30260-4180
Phone (770) 968-8888
Other practice location 2
1000 Corporate Center Dr
Ste 100
Morrow, GA 30260-4180
Phone (770) 968-8888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C16012 | Other | GA | RAILROAD MEDICARE |
| 000741815A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1034 Haw Creek Cir
Suite 100
Cumming, GA 30041-6513
Phone (678) 381-2020
11315 Johns Creek Pkwy
Suite 300
Johns Creek, GA 30097-1517
Phone (678) 381-2020
2555 Westside Pkwy
Suite 300
Alpharetta, GA 30004-4191
Phone (678) 381-2020
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.14 of 100
- Quality
- 94
- Promoting interoperability
- 71
- Improvement activities
- 40
- Cost
- 77.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT01583 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milan Eye LLC | Current | Accepting new patients | |
| Buford Eye Surgery Center | Past | Accepting new patients | |
| Alpharetta Eye Surgery Center LLC | Past | Accepting new patients |
Locations
201 Kimberly Way
Ste 200
Canton, GA 30114
970 Sanders Rd
Ste 100
Cumming, GA 30041
270 Walmart Way
Dahlonega, GA 30533
Phone (706) 867-6918
1300 Peachtree Industrial Blvd
Ste 1201
Suwanee, GA 30024
Phone (770) 614-6266
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- Cumming, GA
- NPI 1932332459
-
- Ambulatory Surgical Clinic/Center
- Alpharetta, GA
- NPI 1164938825
-
- Ambulatory Surgical Clinic/Center
- Buford, GA
- NPI 1609285386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571702400000",
"number": "1841284346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 PEACHTREE INDUSTRIAL BLVD STE 1201",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300244550",
"telephone_number": "678-381-2020",
"fax_number": "678-381-2015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 SANDERS RD STE 100",
"city": "CUMMING",
"state": "GA",
"postal_code": "30041",
"telephone_number": "678-381-2020",
"fax_number": "678-381-2015"
}
],
"practiceLocations": [
{
"address_1": "1000 Corporate Center Dr",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Morrow",
"state": "GA",
"postal_code": "302604180",
"country_code": "US",
"telephone_number": "770-968-8888",
"fax_number": "770-960-2473",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 Corporate Center Dr",
"address_2": "Ste 100",
"address_purpose": "LOCATION",
"city": "Morrow",
"state": "GA",
"postal_code": "302604180",
"country_code": "US",
"telephone_number": "770-968-8888",
"fax_number": "770-960-2473",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FICCO",
"first_name": "CHARLES",
"middle_name": "W",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2019-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT01583",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "C16012",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000741815A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; 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.