Healthcare Provider Details

I. General information

NPI: 1174695738
Provider Name (Legal Business Name): CHECK EYE GROUP, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 09/17/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 BROAD AVE
BELLE VERNON PA
15012-1426
US

IV. Provider business mailing address

527 BROAD AVE
BELLE VERNON PA
15012-1426
US

V. Phone/Fax

Practice location:
  • Phone: 724-929-7737
  • Fax: 724-929-9639
Mailing address:
  • Phone: 724-929-7737
  • Fax: 724-929-9639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG000789
License Number StatePA

VIII. Authorized Official

Name: DR. JOHN M CICCHINI
Title or Position: PRESIDENT
Credential: O.D.
Phone: 724-929-7737