Thomas C Trevorrow

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

MD049389L Issued in PA

Legal business name

THOMAS C TREVORROW

Practice address

119 Professional Ctr
1265 Wayne Avenue, Suite 203
Indiana, PA 15701-3586

Phone

(724) 463-0286

NPI assigned

Feb 15, 2008

Last updated

Feb 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas C TrevorrowNPI 1427040567

Title

Owner

Phone

(724) 463-0286

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

Thomas C Trevorrow2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Thomas C Trevorrow

  • Ophthalmology Physician
  • Indiana, PA
  • NPI 1972740652
  NPD tax ID

Locations

Practitioners 7

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.

• Thomas C Trevorrow

  • Ophthalmology Physician
  • Indiana, PA
  • NPI 1427040567
  NPD Authorized official
• Amanda Cook, M.D.

  • Ophthalmology Physician
  • Sewickley, PA
  • NPI 1912999822
  NPD (past)
• Stephen R Griebel, MD

  • Ophthalmology Physician
  • Punxsutawney, PA
  • NPI 1861484586
  NPD (past)
• Chelsea Ann Lizik, O.D.

  • Optometrist
  • Indiana, PA
  • NPI 1851648117
  NPD (past)
• Khoa Dang Hoang, M.D.

  • Ophthalmology Physician
  • Germantown, MD
  • NPI 1932362621
  NPD (past)
• Leslie Ann Mazzarella, OD

  • Optometrist
  • Asheboro, NC
  • NPI 1932288123
  NPD (past)
• Perry Ward Younger, M.D.

  • Ophthalmology Physician
  • Tallmadge, OH
  • NPI 1295709905
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1881862514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 PROFESSIONAL CTR",
            "address_2": "1265 WAYNE AVENUE, SUITE 203",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013586",
            "telephone_number": "724-463-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 PROFESSIONAL CTR",
            "address_2": "1265 WAYNE AVENUE, SUITE 203",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013586",
            "telephone_number": "724-463-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS C TREVORROW",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "TREVORROW",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-463-0286"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "PA",
            "license": "MD049389L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY PROVIDER",
            "identifier": "1040831",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER",
            "identifier": "735637-L3D",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014147820002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "735637",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cory Lynn Taylor, O.T.R.L.
• The Giant Company, LLC (Martins Pharmacy #6308)
• The Open Door of Indiana, PA (The Open Door)
• The Therapy Team, LLC
• Bobbie Jo Thom
• Thomas C Trevorrow
• Amanda Lynn Thomas, LPN
• Rebecca A. Thomas, R.N.
• Stephanie Thomas
• Tina Thomas, MD

• Eyewear Supplier in Indiana, PA
• Providers in Indiana, PA by specialty
• Eyewear Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.