NPI 1073509923
Tristate Optical, INC.
Practice location
- Address
- 2932 Frontage Rd, Warsaw, IN 46580-3914
- Phone
- (574) 269-2223
- Fax
- (574) 269-3088
Authorised official
- Name
- Jerry L Bradley
- Title
- Vice President
- Phone
- (574) 269-2223
Registered specialties
Eyewear Supplier
Primary
Registry record
- NPI
- 1073509923
- Entity type
- Organization
- NPI issued
- 26 Sep 2005
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.