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Thomas C Trevorrow
Eyewear Supplier in Indiana, Pennsylvania
NPI 1881862514

Thomas C Trevorrow is a Eyewear Supplier based in Indiana, PA. Thomas C Trevorrow practices in Indiana, PA. The NPI Number for Thomas C Trevorrow is 1881862514 and holds a License No. MD049389L (Pennsylvania).

The current practice location address for Thomas C Trevorrow is 119 Professional Ctr, Indiana, PA and can be reached out via phone at 724-463-0286.

Location: 119 Professional Ctr, Indiana, PA, 15701-3586
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881862514
Provider Name
Thomas C Trevorrow
Credential
Provider Entity Type
Organization
Address
119 Professional Ctr, Indiana, PA, 15701-3586
Phone Number
724-463-0286
Fax Number
Provider Enumeration Date
02/15/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
735637-L3D 01 PA BLUE SHIELD PROVIDER
0014147820002 05 PA
735637 01 PA BLUE SHIELD
1040831 01 PA GATEWAY PROVIDER
institution
Provider Business Practice Location Address Details
Address
119 Professional Ctr
City
Indiana
State
Pennsylvania
Zip
15701-3586
Phone Number
724-463-0286
Fax Number
person
Provider Business Mailing Address Details
Address
119 Professional Ctr
City
Indiana
State
Pennsylvania
Zip
15701-3586
Phone Number
724-463-0286
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
MD049389L (Pennsylvania)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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