Ciccarello, Jimmie Ignazio
Ciccarello, Jimmie Ignazio is an sole proprietor health care provider with primary practice located at 620 Seaside Dr , Tarpon Springs FL 34689-2293. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ciccarello, Jimmie Ignazio can be contacted via phone (609) 458-4541.Contact Information
Primary practice address
620 Seaside Dr
Tarpon Springs FL 34689-2293
Phone: (609) 458-4541
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA00545000 | New Jersey |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC 5167 | Florida |
Profile Details
| NPI number | 1144264110 |
|---|---|
| LBN Legal business name | Ciccarello, Jimmie Ignazio |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Apr 18th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144264110 | NPPES |
| New Jersey | Other | 2204890 | AETNA |
| New Jersey | Other | NJ5450 | AETNA |
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