NPIMap

Organization Active NPI

Tri State Optical Co Inc

  • Eyewear Supplier
  • Shreveport, LA
National Provider Identifier
1679769517
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
00200598 Issued in LA
Legal business name
TRI STATE OPTICAL CO INC
Practice address
1014 Creswell St
Tri State Optical
Shreveport, LA 71101
Phone
(318) 425-7432
Fax
(318) 425-8797
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Authorized official

Name
Ms. Betty Carroll McCraw
Title
President
Phone
(318) 425-7432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 00200598 LA Primary

Addresses

Primary practice location

1014 Creswell St
Tri State Optical
Shreveport, LA 71101

Mailing address

1014 Creswell St
Shreveport, LA 71101
Phone (318) 425-7432

National Provider Directory

National Provider Directory

Locations

1014 Creswell Ave
Shreveport, LA 71101
Phone (318) 425-7432

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1679769517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 CRESWELL ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-425-7432",
            "fax_number": "318-425-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 CRESWELL ST",
            "address_2": "TRI STATE OPTICAL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71101",
            "telephone_number": "318-425-7432",
            "fax_number": "318-425-8797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE OPTICAL CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "MCCRAW",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-425-7432",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "LA",
            "license": "00200598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; 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.