| Organization Name: | TRI CITY OPTOMETRIC, P.A. |
| NPI Number: | 1003966789 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TROY N TEVIS (OWNER DOCTOR) |
| Mailing Address: | 337 N Main St Rutherfordton |
| State: | NC US |
| Postal Code: | 281392505 |
| Phone Number: | 8282888662 |
| Fax Number: | 8282884882 |
| NPI Enumeration Date: | 01/12/2007 |
| NPI Last Update Date: | 07/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WC0802X |
| License Number: | 1807 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Corneal and Contact Management |
| Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |