Individual provider Active NPI

Thomas Trio, O.D., M.B.A.

  • Optometrist
  • Parkesburg, PA
National Provider Identifier
1447208202
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001605 Issued in PA
Practice address
100 Commons Dr
Parkesburg, PA 19365-2150
Phone
(610) 857-4900
Fax
(610) 857-4948
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OEG001605 PA
Optometrist 152W00000X OEG001605 PA Primary

Addresses

Primary practice location

100 Commons Dr
Parkesburg, PA 19365-2150

Mailing address

3716 Winthrop Way
Chester Springs, PA 19425-9567
Phone (484) 620-1524

Other identifiers 1

IdentifierTypeStateIssuer
001648440MedicaidPA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100713000254 PA Practitioner - Optometry 4082746912 Practice locations: Parkesburg, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1447208202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3716 WINTHROP WAY",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194259567",
            "telephone_number": "484-620-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 COMMONS DR",
            "city": "PARKESBURG",
            "state": "PA",
            "postal_code": "193652150",
            "telephone_number": "610-857-4900",
            "fax_number": "610-857-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIO",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D., M.B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG001605",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001648440",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkesburg, PA

Sources for this page

Verify at the official NPI Registry.