1588744759 NPI number — TCH, INC.

Table of content: (NPI 1588744759)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588744759 NPI number — TCH, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TCH, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
KAREN OPTICAL
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588744759
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
106 PENN MART SHOPPING CTR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW CASTLE
Provider Business Mailing Address State Name:
DE
Provider Business Mailing Address Postal Code:
19720-4209
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
302-322-4658
Provider Business Mailing Address Fax Number:
302-322-8939

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
106 PENN MART SHOPPING CTR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
DE
Provider Business Practice Location Address Postal Code:
19720-4209
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
302-322-4658
Provider Business Practice Location Address Fax Number:
302-322-8939
Provider Enumeration Date:
10/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HAZEN
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
C
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
302-322-4658

Provider Taxonomy Codes

  • Taxonomy code: 156FX1800X , registered in the state of DE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: OP0256 . This is a "EYEMED" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 207468 . This is a "OPTICHOICE" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 36161 . This is a "DAVIS VISION" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".
  • Identifier: 0000789422 , issued by the state of ( DE ) . This identifiers is of the category "MEDICAID".
  • Identifier: 908041 . This is a "BLOCK VISION" identifier , issued by the state of ( DE ) . This identifiers is of the category "OTHER".




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