# TRICE PROFESSIONAL OPTICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174787873
- **Authorized official:** MR. KEVIN DWAINE BERGER (OWNER OPTICIAN)
- **Authorized official phone:** (724) 836-2190

## Contact information

- **Practice address:** 35 N MAIN ST, GREENSBURG, PA 15601-2401
- **Practice address phone:** (724) 836-2190
- **Practice address fax:** (724) 836-2127
- **Mailing address:** PO BOX 543, 35 N MAIN STREET, GREENSBURG, PA 15601-0543
- **Mailing address phone:** (724) 836-2190
- **Mailing address fax:** (724) 836-2127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | 6000001146 | PA | Yes |

## Other

- **Enumeration date:** 07/11/2008
- **Last updated:** 08/07/2008