Tri-State Optical, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

TRI-STATE OPTICAL, INC.

Doing business as

Cunningham Optical One

Practice address

5233 Coldwater Rd
Fort Wayne, IN 46825-5538

Phone

(260) 482-1555

Fax

(260) 483-8287

NPI assigned

Sep 26, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jerry L Bradley

Title

Vice President

Phone

(260) 482-1555

Specialties & licenses 1

Addresses

Other names 1

• Cunningham Optical One Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Tri-State Optical, Inc.

  dba Cunningham Optical One

  • Optician
  • Evansville, IN
  • NPI 1275529125
  NPPES parent name

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205822145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255538",
            "telephone_number": "260-482-1555",
            "fax_number": "260-483-8287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 COLDWATER RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468255538",
            "telephone_number": "260-482-1555",
            "fax_number": "260-483-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "260-482-1555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cunningham Optical One",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kerri Jo Trentacosti, COTA
• Maureen Trentadue
• Andrea Marie Trevino
• Michael Alan Trevino, M.D.
• Emily Trexler, OTD, OTR/L, CEIM
• David Bruce Tribble, M.D.
• Andrea D Tribolet, SLP
• Mary Susan Tribolet, P.T.
• Jenna Trice, RBT
• Maya Trice, RBT

• Eyewear Supplier in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Eyewear Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.