Piccirilli, Thomas Robert

Piccirilli, Thomas Robert is an individual health care provider with primary practice located at 1831 Lycoming Creek Rd , Williamsport PA 17701-1523. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Piccirilli, Thomas Robert can be contacted via phone (570) 323-1111.

Contact Information

Primary practice address
1831 Lycoming Creek Rd Williamsport PA 17701-1523
Phone: (570) 323-1111
Fax: (570) 323-8805
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG001386 Pennsylvania

Profile Details

NPI number 1336185495
LBN Legal business name Piccirilli, Thomas Robert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated May 25th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336185495 NPPES
Pennsylvania MEDICAID 0018520230001

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