Tristate Professional Services INC
NPI #1194054452 in Springfield, Illinois
Provider Information
- NPI Number
- 1194054452
- Entity Type
- Organization
- Organization Name
- Tristate Professional Services INC
- Primary Specialty
- Optometrist
- Enumeration Date
- Dec 16, 2009
- Last Updated
- Dec 16, 2009
Practice Location
- Address
- 2760 N DIRKSEN PKWY
- Address 2
- ATTN: WALMART VISION CTR
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62702-1448
- Phone
- (217) 522-4396
Authorized Official
- Name
- DR. ROBERT P EDWARDS, OD
- Title
- PRESIDENT
- Phone
- (217) 259-8461
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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| Emily Beyer, OD |
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