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NPI Code Detail

MEDICARE: TRI-CENTURY EYE CARE, PC

MEDICARE: TRI-CENTURY EYE CARE, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336154087
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRI-CENTURY EYE CARE, PC
Provider Business Mailing Address
First Line : 216 MILL STREET
Second Line :
City : BRISTOL
State : PA
Zip : 19007
Country : US
Telephone Number : 215-781-2020
Fax Number : 215-781-6794
Provider Business Practice Location Address
First Line : 319 SECOND STREET PIKE
Second Line :
City : SOUTHAMPTON
State : PA
Zip : 18966-3812
Country : US
Telephone Number : 215-355-4428
Fax Number : 215-788-3504
Authorized Official
Title or Position : OWNER
Name : DR. ANTHONY P MANNARINO
Credential : MD
Telephone Number : 215-781-2020
Provider Enumeration Date : 07/30/2006
Last Update Date : 11/16/2021

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