Active NPI
Tri County Optometric
- Optometrist
- Southampton, PA
National Provider Identifier
1366626160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- TRI COUNTY OPTOMETRIC
- Practice address
- 319 Second Street Pike
Southampton, PA 18966-3812 - Phone
- (215) 355-4428
- Fax
- (215) 355-0790
- NPI assigned
- Dec 28, 2007
- Last updated
- Mar 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane M Campbell
- Title
- Credentialing
- Phone
- (215) 396-4211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
319 Second Street Pike
Southampton, PA 18966-3812
Mailing address
319 Second Street Pike
Southampton, PA 18966-3812
Phone (215) 355-4428
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011522950001 | Medicaid | PA |
National Provider Directory
National Provider Directory- Tax ID family
- Tri County Eye Physicians Surgeons PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Southampton, PA
- NPI 1720262538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198800000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332806400000",
"number": "1366626160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 SECOND STREET PIKE",
"city": "SOUTHAMPTON",
"state": "PA",
"postal_code": "189663812",
"telephone_number": "215-355-4428",
"fax_number": "215-355-0790"
},
{
"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": "215-355-0790"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI COUNTY OPTOMETRIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-28",
"last_updated": "2012-03-27",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "DIANE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "215-396-4211"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011522950001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Southampton, PA
- Steven D Tranchitella, RN
- Norbert Joseph Trautner
- Tri County Eye Physicians (Physicians Optical)
- Tri County Eye Physicians & Surgeons P.C.
- Tri County Eye Physicians & Surgeons PC
- Tri County Surgery Center LLC
- Tri-Century Eye Care, PC
- Tri-Century Eye Care, PC
- Trinity Health Mid-Atlantic Medical Group (Warminster Family Practice)
- Trinity Health Mid-Atlantic Medical Group (Southampton St. Mary Family Practice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.