Organization
TRI STATE OPTICAL CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BETTY CARROLL MCCRAW (PRESIDENT)
(318) 425-7432
Entity
Organization
Contact information
Practice address
1014 CRESWELL ST, TRI STATE OPTICAL, SHREVEPORT, LA 71101
(318) 425-7432
(318) 425-8797
Mailing address
1014 CRESWELL ST, SHREVEPORT, LA 71101
(318) 425-7432
(318) 425-8797
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
00200598
LA
Other
Enumeration date
09/24/2007
Last updated
03/10/2008
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