Ficco, Charles W

Ficco, Charles W is an individual health care provider with primary practice located at 970 Sanders Rd Ste 100 , Cumming GA 30041. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ficco, Charles W can be contacted via phone (678) 381-2020.

Contact Information

Primary practice address
970 Sanders Rd Ste 100 Cumming GA 30041
Fax: (678) 381-2015
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT01583 Georgia

Profile Details

NPI number 1841284346
LBN Legal business name Ficco, Charles W
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Oct 22nd, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841284346 NPPES
Georgia Other C16012 RAILROAD MEDICARE
Georgia MEDICAID 000741815A RAILROAD MEDICARE

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