Provider Demographics
NPI:1447208202
Name:TRIO, THOMAS (OD, MBA)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:
Last Name:TRIO
Suffix:
Gender:M
Credentials:OD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3716 WINTHROP WAY
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-9567
Mailing Address - Country:US
Mailing Address - Phone:484-620-1524
Mailing Address - Fax:
Practice Address - Street 1:100 COMMONS DR
Practice Address - Street 2:
Practice Address - City:PARKESBURG
Practice Address - State:PA
Practice Address - Zip Code:19365-2150
Practice Address - Country:US
Practice Address - Phone:610-857-4900
Practice Address - Fax:610-857-4948
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001605152WC0802X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001648440Medicaid
PAT30412Medicare UPIN