| Organization Name: | TRI-SUPREME OPTICAL, L.L.C. |
| NPI Number: | 1588855142 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICK LONG (VICE PRESIDENT, PARTNER LABS) |
| Mailing Address: | 91 Carolyn Blvd Farmingdale |
| State: | NY US |
| Postal Code: | 117351527 |
| Phone Number: | 6312492020 |
| Fax Number: | |
| NPI Enumeration Date: | 08/07/2007 |
| NPI Last Update Date: | 08/07/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332H00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |