Tri-State Optical, Inc.
NPI #1205822145 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1205822145
- Entity Type
- Organization
- Organization Name
- Tri-State Optical, Inc.
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Sep 26, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5233 COLDWATER RD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46825-5538
- Phone
- (260) 482-1555
Authorized Official
- Name
- MR. JERRY L BRADLEY
- Title
- VICE PRESIDENT
- Phone
- (260) 482-1555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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