TRI STATE OPTICAL CO INC; NPI #1679769517

Contact Information

TRI STATE OPTICAL CO INC

1014 CRESWELL ST
TRI STATE OPTICAL
SHREVEPORT, LA 71101

Phone: 318-425-7432
Fax: 318-425-8797
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for TRI STATE OPTICAL CO INC

NPI # 1679769517

LBN Legal business name TRI STATE OPTICAL CO INC

Authorized official BETTY MCCRAW - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/24/2007

Last updated 03/10/2008 - About 18 years ago

Identifiers

License #

00200598

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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TRI STATE OPTICAL CO INC

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for TRI STATE OPTICAL CO INC

Reviews for TRI STATE OPTICAL CO INC