Individual
JOHN M CICCHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
527 BROAD AVE, BELLE VERNON, PA 15012-1426
(724) 929-7737
(724) 929-9639
Mailing address
527 BROAD AVE, BELLE VERNON, PA 15012-1426
(724) 929-7737
(724) 929-9639
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG00789
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF7937
RETIRE RAILROAD MEDICARE
PA
Enumeration date
10/17/2005
Last updated
09/10/2013
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