Provider Demographics
NPI:1174695738
Name:CHECK EYE GROUP, P.C.
Entity type:Organization
Organization Name:CHECK EYE GROUP, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:CICCHINI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:724-929-7737
Mailing Address - Street 1:527 BROAD AVE
Mailing Address - Street 2:
Mailing Address - City:BELLE VERNON
Mailing Address - State:PA
Mailing Address - Zip Code:15012-1426
Mailing Address - Country:US
Mailing Address - Phone:724-929-7737
Mailing Address - Fax:724-929-9639
Practice Address - Street 1:527 BROAD AVE
Practice Address - Street 2:
Practice Address - City:BELLE VERNON
Practice Address - State:PA
Practice Address - Zip Code:15012-1426
Practice Address - Country:US
Practice Address - Phone:724-929-7737
Practice Address - Fax:724-929-9639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000789152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAU36269Medicare UPIN
PADF7937Medicare PIN
PAU38600Medicare UPIN