Tri-State Vision Center, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5049 Issued in OH

Legal business name

TRI-STATE VISION CENTER, INC.

Practice address

306 W Main St
Montpelier, OH 43543-1018

Phone

(419) 485-4257

Fax

(419) 485-3520

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jason R. Kunsman, O.D.NPI 1730159609

Title

Optometrist/Partner

Phone

(419) 485-4257

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 5

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

• Jason R. Kunsman, O.D.

  • Optometrist
  • Montpelier, OH
  • NPI 1730159609
  Medicare reassignment Care Compare group NPD Authorized official
• Austin L Saneholtz, OD

  • Optometrist
  • Perrysburg, OH
  • NPI 1275781841
  Medicare reassignment Care Compare group NPD
• Roger Lee Saneholtz, OD

  • Optometrist
  • Montpelier, OH
  • NPI 1982676128
  Medicare reassignment NPD
• Randy L Peters, O.D.

  • Optometrist
  • Bryan, OH
  • NPI 1902866130
  NPD (past)
• Amy J Williams, OD

  • Optometrist
  • Defiance, OH
  • NPI 1811979289
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1568573350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W MAIN ST",
            "city": "MONTPELIER",
            "state": "OH",
            "postal_code": "435431018",
            "telephone_number": "419-485-4257",
            "fax_number": "419-485-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W MAIN ST",
            "city": "MONTPELIER",
            "state": "OH",
            "postal_code": "435431018",
            "telephone_number": "419-485-4257",
            "fax_number": "419-485-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE VISION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "KUNSMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OPTOMETRIST/PARTNER",
        "authorized_official_telephone_number": "419-485-4257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0090982",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Sponsler
• Libby Nicole Stabler, PHARMD
• Regan McKayla Steffes
• Stacey L Stratton, FNP-C
• Tree Grove Emergency Physicians LLC
• Trusted Billing Solutions, LLC
• Jessica Walsh
• Peggy H Watson, MD
• Williams County Board of MRDD
• Williams County Office of Auditor

• Optometrist in Montpelier, OH
• Providers in Montpelier, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.