Thomas Robert Piccirilli, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001386 Issued in PA

Practice address

1831 Lycoming Creek Rd
Williamsport, PA 17701-1523

Phone

(570) 323-1111

Fax

(570) 323-8805

NPI assigned

Jun 20, 2006

Last updated

May 25, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Independence CorporationGroup PAC ID 0749351005, 12 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Independence Corporation

  dba Eyeland Optical Inc.

  • Optometrist
  • Whitehall, PA
  • NPI 1972549657
  Medicare reassignment Care Compare group NPD
• Independence Corporation

  dba Eyeland Optical Inc.

  • Optometrist
  • Ephrata, PA
  • NPI 1386928208
  NPD

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1336185495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 LYCOMING CREEK RD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011523",
            "telephone_number": "570-323-1111",
            "fax_number": "570-323-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 LYCOMING CREEK RD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011523",
            "telephone_number": "570-323-1111",
            "fax_number": "570-323-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCIRILLI",
        "first_name": "THOMAS",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018520230001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lan Hoang Pham, RN
• Luan Pham, MD
• Pharmacpo 2 Inc (Medicap Pharmacy)
• Curtis Paul Phibbs, O.D., M.S.
• Phoenix Rehabilitation and Health Services, Inc.
• Steven Brooks Daniels Pinckney, DO
• Pine Run Mental Health & Wellness
• Katrin Hunt Pinkham
• Ivan Pinsky, CRNA
• William Gilbert Piotrowski, DC

• Optometrist in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.