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TRI STATE OPTICAL CO INC NPI 1679769517


NPI Information

NPI: 1679769517
Provider Name: TRI STATE OPTICAL CO INC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
1014 CRESWELL ST
TRI STATE OPTICAL
SHREVEPORT, LA
ZIP 71101
Phone: (318) 425-7432
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TRI STATE OPTICAL CO INC is an eyewear supplier in Shreveport, LA. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. TRI STATE OPTICAL CO INC NPI is 1679769517. The provider is registered as an organization entity type.

The provider's business location address is:

1014 CRESWELL ST
TRI STATE OPTICAL
SHREVEPORT, LA
ZIP 71101
Phone: (318) 425-7432
Fax: (318) 425-8797

The provider's authorized official is Betty Carroll Mccraw .
The authorized official title is President and has the following contact phone number (318) 425-7432.

The enumeration date for this NPI number is 9/24/2007 and was last updated on 3/10/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier00200598LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10360440001MEDICARE NSCLOUISIANA
20360440001MEDICARE PINLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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