Organization
TRI STATE OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL JEROME CASEY A.B.O.C. (GENERAL MANAGER)
(517) 279-7951
Entity
Organization
Contact information
Practice address
350 MARSHALL ST, SUITE 2, COLDWATER, MI 49036-1175
(517) 279-7951
(517) 279-8000
Mailing address
350 MARSHALL ST, SUITE 2, COLDWATER, MI 49036-1175
(517) 279-7951
(517) 279-8000
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4529069
—
MI
Enumeration date
01/04/2007
Last updated
08/22/2020
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