Organization
TRI COUNTY OPTOMETRIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE M CAMPBELL (CREDENTIALING)
(215) 396-4211
Entity
Organization
Contact information
Practice address
319 SECOND STREET PIKE, SOUTHAMPTON, PA 18966-3812
(215) 355-4428
(215) 355-0790
Mailing address
319 SECOND STREET PIKE, SOUTHAMPTON, PA 18966-3812
(215) 355-4428
(215) 355-0790
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011522950001
—
PA
Enumeration date
12/28/2007
Last updated
03/27/2012
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