Provider Demographics
NPI:1588744759
Name:TCH, INC.
Entity type:Organization
Organization Name:TCH, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:HAZEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-322-4658
Mailing Address - Street 1:106 PENN MART SHOPPING CTR
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-4209
Mailing Address - Country:US
Mailing Address - Phone:302-322-4658
Mailing Address - Fax:302-322-8939
Practice Address - Street 1:106 PENN MART SHOPPING CTR
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-4209
Practice Address - Country:US
Practice Address - Phone:302-322-4658
Practice Address - Fax:302-322-8939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEOP0256OtherEYEMED
DE207468OtherOPTICHOICE
DE36161OtherDAVIS VISION
DE0000789422Medicaid
DE908041OtherBLOCK VISION
DEOP0256OtherEYEMED