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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JIMMIE IGNAZIO CICCARELLO, O.D.

Active Sole Proprietor

DR. JIMMIE IGNAZIO CICCARELLO, O.D. is a Optometrist healthcare provider located in TARPON SPRINGS, Florida. NPI 1144264110 is currently active in the NPPES registry. Verify at CMS.

Optometrist · TARPON SPRINGS, FL

Registration Details

NPI Number
1144264110
Provider Type
Individual
Gender
Male
NPI Issued
Jun 16, 2006 (20.149924251068 yrs)
Last Updated
Apr 18, 2016
Licenses
27OA00545000 (NJ)
OPC 5167 (FL)
Sole Proprietor
Yes

Practice Information

Address
620 SEASIDE DR
TARPON SPRINGS, FL, 346892293
Browse FL providers · Browse ZIP 34689
Phone
6094584541
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist

Other Optometrist Providers in TARPON SPRINGS, FL

Name Credential NPI
DR. FRANK V DINA O.D. 1609860949
DR. RACHAEL STREETER O.D. 1255325478
DR. KENNETH ROBERT MURPHY O.D. 1700870854
DR. KATHERINE S FLYNN M.D. 1396794715
DR. ROBERT ALFRED HOFFERT O.D. 1699904946
DR. CRYSTAL L HOFFERT O.D. 1134433170
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.