Individual
DR. FELICIA MARIE CICCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
30 N CHURCH ST, CARBONDALE, PA 18407-1905
(570) 282-4080
Mailing address
3319 LAKE ARIEL HWY, HONESDALE, PA 18431-1174
(570) 253-6551
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG004250
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
05/18/2026
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