Individual
DR. JOHN W CECCONI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
108 COMMERCIAL AVE, SPRINGFIELD, KY 40069-1413
(859) 336-9388
(859) 336-9970
Mailing address
PO BOX 169, SPRINGFIELD, KY 40069-0169
(859) 336-9388
(859) 337-9970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1104DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77011047
—
KY
Enumeration date
01/25/2006
Last updated
09/04/2008
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