DR. JOHN W CECCONI JR. (NPI# 1487624029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487624029 |
| Entity Type | Individual |
| Full Name | DR. JOHN W CECCONI JR. |
| Credential | O.D. |
| Practice Address |
108 Commercial Ave Springfield KY 40069-1413 |
| Mailing Address |
Po Box 169 Springfield KY 40069-0169 |
| Practice Telephone | 8593369388 |
| Practice Fax Number | 8593369970 |
| Mailing Telephone | 8593369388 |
| Mailing Fax Number | 8593379970 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2008-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1104DT | KY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 77011047 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477934362 | John Louis Cecconi | Family Medicine | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2015-06-16 |
| Street Address |
108 COMMERCIAL AVE |
| City | SPRINGFIELD |
| State | KY |
| Zip Code | 40069-1413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558351072 | Don K. Flowers | Dentist | 108 Commercial Ave, Springfield, KY 40069-1413 | 2005-10-26 |
| 1841319100 | Don K. Flowers, Jr., D.m.d., P.s.c. | Dentist | 108 Commercial Ave, Springfield, KY 40069-1413 | 2007-03-28 |
| 1114964681 | Central Kentucky Optometric Associates Psc | Optometrist | 108 Commercial Ave, Springfield, KY 40069-1413 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972901189 | Fred's Stores of Tennessee Inc | Pharmacy | 1117 Lincoln Park Rd, Springfield, KY 40069 | 2014-12-22 |
| 1730455346 | Christina Nicole Saunier | Speech-Language Pathologist | 716 East Grundy Ave, Springfield, KY 40069 | 2012-03-28 |
| 1912157207 | Allison Brooke Ballard | Social Worker | 2373 Lincoln Park Rd, Springfield, KY 40069 | 2008-09-24 |
| 1497737001 | Lincoln Trail District Health Dept | Public Health or Welfare | 302 E Main St, Springfield, KY 40069 | 2005-11-18 |
| 1497267637 | Jonathon Lee Ennis | Physician Assistant | 805 Bardstown Rd, Springfield, KY 40069 | 2017-10-27 |
| 1619496395 | Family Wellcare Clinic, Pllc | Internal Medicine | 805 Bardstown Rd Ste 12, Springfield, KY 40069 | 2017-09-14 |
| 1750562690 | Washington County Schools | Local Education Agency (LEA) | 120 Mackville Hl, Springfield, KY 40069-1013 | 2007-11-20 |
| 1912028309 | Colette M Hill | Massage Therapist | 114 S Walnut St, Springfield, KY 40069-1104 | 2007-04-03 |
| 1083751424 | Communicare Inc | Community/Behavioral Health | 324 E Main St, Springfield, KY 40069-1127 | 2007-02-01 |
| 1639654809 | Bardstown Primary Care, Pllc | Clinic/Center | 102 W Depot St, Springfield, KY 40069-1159 | 2018-10-03 |
| Find all providers in zip 40069 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938092 | Premier Vision Center LLC | Optometrist | 2809 Mansion Rd Ste A, Springfield, IL 62711-6811 | 2020-06-25 |
| 1376180109 | Drs. Akre & Clark, Ltd. | Optometrist | 623 W Rock St, Springfield, MN 56087-1028 | 2019-11-27 |
| 1407410087 | Missouri Physicians Eyecare Group, P.C. | Optometrist | 1415 E Battlefield St, Springfield, MO 65804-3701 | 2019-04-29 |
| 1467931006 | Vision Care Focus, LLC | Optometrist | 1507 Mohawk Blvd, Springfield, OR 97477-3355 | 2018-08-13 |
| 1306337126 | Casey Marie Smith | Optometrist | 1024 N Plum St, Springfield, OH 45504-2108 | 2018-05-29 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1790299311 | Springfield Eye Specialists LLC | Optometrist | 3231 S National Ave Ste 165, Springfield, MO 65807-7304 | 2017-11-17 |
| 1093253247 | Minh-tam Nguyen | Optometrist | 8424 Old Keene Mill Rd, Springfield, VA 22152-2302 | 2017-02-08 |
| 1013453877 | Grace Chang, Od PC | Optometrist | 6575n Frontier Dr, Springfield, VA 22150-1415 | 2017-01-17 |
| 1669821914 | Laura Kay | Optometrist | 1342 E Primrose St Ste B, Springfield, MO 65804-4224 | 2016-06-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 40069 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.