Tri-State Optical Center, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2594 Issued in AR

Legal business name

TRI-STATE OPTICAL CENTER, PLLC

Practice address

1401 W Walnut St
Rogers, AR 72756-3317

Phone

(479) 636-2012

NPI assigned

Sep 12, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Katherine A Landis, ODNPI 1902096589

Title

OD

Phone

(479) 636-2012

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR2 enrollments

Enrollment records 2

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Ann Landis, O.D.

  • Optometrist
  • Rogers, AR
  • NPI 1902096589
  Medicare reassignment Care Compare group NPD Authorized official
• Daniel Robert Landis, O.D.

  • Optometrist
  • Rogers, AR
  • NPI 1588854343
  Medicare reassignment Care Compare group NPD
• Erin Kindy, O.D.

  • Optometrist
  • Rogers, AR
  • NPI 1720420037
  Medicare reassignment NPD
• Christina Thompson, OD

  • Optometrist
  • Rogers, AR
  • NPI 1942050240
  Medicare reassignment NPD
• Ashley Ryan Brooks, O.D.

  • Optometrist
  • Rogers, AR
  • NPI 1871749929
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1154638153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1714 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563324",
            "telephone_number": "479-636-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W WALNUT ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727563317",
            "telephone_number": "479-636-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE OPTICAL CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-12",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A",
        "authorized_official_last_name": "LANDIS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "479-636-2012",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185238722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Douglas Alan Treptow, MD
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• Lauren E Tschiggfrie, PT, DPT
• Norman Tubb, MD
• Alex Tucker

• Optometrist in Rogers, AR
• Providers in Rogers, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.