Healthcare Provider Details

I. General information

NPI: 1447208202
Provider Name (Legal Business Name): THOMAS TRIO O.D., M.B.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 01/27/2020
Certification Date: 01/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 COMMONS DR
PARKESBURG PA
19365-2150
US

IV. Provider business mailing address

3716 WINTHROP WAY
CHESTER SPRINGS PA
19425-9567
US

V. Phone/Fax

Practice location:
  • Phone: 610-857-4900
  • Fax: 610-857-4948
Mailing address:
  • Phone: 484-620-1524
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License NumberOEG001605
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG001605
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: