Organization Name: | TRI STATE OPTICAL, INC. |
NPI Number: | 1942357652 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL JEROME CASEY (GENERAL MANAGER) |
Mailing Address: | 350 Marshall St Suite 2 Coldwater |
State: | MI US |
Postal Code: | 490361175 |
Phone Number: | 5172797951 |
Fax Number: | 5172798000 |
NPI Enumeration Date: | 01/04/2007 |
NPI Last Update Date: | 07/09/2007 |
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. |