<Unavail>

LBN: Tristate Optical, Inc.
<Unavail> is an health care organization with primary practice located at 6424 W Jefferson Blvd , Fort Wayne IN 46804-6204. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Tristate Optical, Inc. can be contacted via phone (260) 436-2020, or through Bradley, Jerry L via phone (260) 436-2020.

Contact Information

Primary practice address
6424 W Jefferson Blvd Fort Wayne IN 46804-6204
Phone: (260) 436-2020
Fax: (260) 436-7628
Website:
Map and Directions
Authorized official contact:
Name: Bradley, Jerry L
Phone: (260) 436-2020

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1013903962
LBN Legal business name Tristate Optical, Inc.
DBA Doing business as <Unavail>
Authorized official Bradley, Jerry L
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2005
Last updated Aug 22nd, 2020 - about 6 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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