NPIMap

Organization Active NPI

Tri-Century Eye Care, PC

  • Durable Medical Equipment & Medical Supplies
  • Southampton, PA
National Provider Identifier
1124642343
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TRI-CENTURY EYE CARE, PC
Practice address
319 Second Street Pike
Southampton, PA 18966-3812
Phone
(215) 355-4428
Fax
(215) 788-3504
NPI assigned
Jun 3, 2020
Last updated
Nov 16, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Barbara Ann Killmer
Title
Billing Administrator
Phone
(216) 781-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

319 Second Street Pike
Southampton, PA 18966-3812

Mailing address

216 Mill St
Bristol, PA 19007-4809
Phone (215) 781-6793

Other names 1

  • Century Eye Care, Ltd/ Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201006003247 PA DME Supplier - Physician - OphthalmologyDME Supplier - Optician 3173416237 Practice locations: Southampton, PA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Century Eye Care LTD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1124642343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 MILL ST",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190074809",
            "telephone_number": "215-781-6793",
            "fax_number": "215-788-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 SECOND STREET PIKE",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663812",
            "telephone_number": "215-355-4428",
            "fax_number": "215-788-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CENTURY EYE CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2021-11-16",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "KILLMER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "216-781-2020"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Century Eye Care, Ltd/",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Century Eye Care, Ltd/",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Southampton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.