Tristate Optical, Inc.

NPI #1073509923 in Warsaw, Indiana

Provider Information

NPI Number
1073509923
Entity Type
Organization
Organization Name
Tristate Optical, Inc.
Primary Specialty
Eyewear Supplier
Enumeration Date
Sep 26, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
2932 FRONTAGE RD
City
Warsaw
State
Indiana
ZIP Code
46580-3914
Phone
(574) 269-2223

Authorized Official

Name
MR. JERRY L BRADLEY
Title
VICE PRESIDENT
Phone
(574) 269-2223

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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