Organization
TRI-STATE OPTICAL, INC.
Active
Parent organization
TRI-STATE OPTICAL, INC.
Other names
Cunningham Optical One
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRI-STATE OPTICAL, INC.
Authorized official
MR. CHAND E CUNNINGHAM (OWNER)
(260) 482-1555
Entity
Organization
Contact information
Practice address
5600-A EAST VIRGINA STREET, EVANSVILLE, IN 47715-2639
(812) 477-2020
(812) 473-5653
Mailing address
5600-A EAST VIRGINA STREET, EVANSVILLE, IN 47715-2639
(812) 477-2020
(812) 473-5653
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100280540A
—
IN
Enumeration date
09/26/2005
Last updated
11/25/2014
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