Tri County Surgery Center LLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

1763 Issued in PA

Legal business name

TRI COUNTY SURGERY CENTER LLC

Practice address

319 2ND Street Pike
Southampton, PA 18966-3812

Phone

(215) 355-4428

Fax

(215) 355-0790

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard Blair Prince, M.D.

Title

President - Ophthalmologist

Phone

(215) 396-4211

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Listed as

Tricounty Surgery CenterCCN 39C0001195

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Virtua - Memorial Hospital Burlington County, Inc

  • Psychiatric Hospital Unit
  • Mount Holly, NJ
  • NPI 1174529846

  Member Of

  NPD member

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jocelyn Theresa Kuryan, M.D.

  • Ophthalmology Physician
  • Southampton, PA
  • NPI 1386964989

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649375452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 2ND 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 2ND 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 SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "BLAIR",
        "authorized_official_title_or_position": "PRESIDENT - OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "215-396-4211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "PA",
            "license": "1763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norbert Joseph Trautner
• Tri County Eye Physicians
• Tri County Eye Physicians & Surgeons P.C.
• Tri County Eye Physicians & Surgeons PC
• Tri County Optometric
• Tri-Century Eye Care, PC
• Tri-Century Eye Care, PC
• Trinity Health Mid-Atlantic Medical Group
• Trinity Health Mid-Atlantic Medical Group
• Alli Trotto

• All providers in Southampton, PA
• Ophthalmologic Surgery Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.