Provider Demographics
NPI:1013907997
Name:CECCHINI, CHRISTOPHER NICHOLAS (OD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:NICHOLAS
Last Name:CECCHINI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4424 PENN AVE
Mailing Address - Street 2:SUITE 101 AND/OR SUITE 103
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1338
Mailing Address - Country:US
Mailing Address - Phone:412-683-0500
Mailing Address - Fax:412-683-1943
Practice Address - Street 1:4424 PENN AVE
Practice Address - Street 2:SUITE 101 AND/OR SUITE 103
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-1338
Practice Address - Country:US
Practice Address - Phone:412-683-0500
Practice Address - Fax:412-683-1943
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001667152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1750859OtherHIGHMARK BCBS
PA410790OtherUPMC
PA737090OtherHEALTH AMERICA / ADVANTRA / HEALTH ASSURANCE
PA58452OtherDAVIS VISION
PA58453OtherDAVIS VISION
PA0576090002OtherHEALTHNOW NY, INC
PA1013907997OtherOPTICARE
PA1015412310008Medicaid
PA251752022OtherMEDPLUS
PA58452OtherDAVIS
PAPA04424OtherVISION BENEFITS OF AMERICA
PA0576090001OtherHEALTHNOW NY, INC.
PA3995780OtherAETNA
PA8463334OtherCIGNA
PA1015412310007Medicaid
PAPA03414OtherVISION BENEFITS OF AMERICA
PA58452OtherDAVIS VISION
PAPA04424OtherVISION BENEFITS OF AMERICA