Tri-State Optical Center, Pllc

LBN: Tri-State Optical Center, Pllc
Tri-State Optical Center, Pllc is an health care organization with primary practice located at 1401 W Walnut St , Rogers AR 72756-3317. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Tri-State Optical Center, Pllc can be contacted via phone (479) 636-2012, or through Landis, Katherine A via phone (479) 636-2012.

Contact Information

Primary practice address
1401 W Walnut St Rogers AR 72756-3317
Phone: (479) 636-2012
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Landis, Katherine A Doctor of Optometry (OD)
Phone: (479) 636-2012

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2594 Arkansas

Profile Details

NPI number 1154638153
LBN Legal business name Tri-State Optical Center, Pllc
DBA Doing business as
Authorized official Landis, Katherine A Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 12th, 2010
Last updated May 4th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154638153 NPPES
Arkansas MEDICAID 185238722

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