Tri City Optometric

LBN: Tri City Optometric, P.A.
Tri City Optometric is an health care organization with primary practice located at 337 N Main St , Rutherfordton NC 28139-2505. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Tri City Optometric, P.A. can be contacted via phone (828) 288-8662, or through Tevis, Troy N via phone (828) 288-8662.

Contact Information

Primary practice address
337 N Main St Rutherfordton NC 28139-2505
Fax: (828) 288-4882
Website:
Authorized official contact:
Name: Tevis, Troy N O.D., PHD

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1807 North Carolina
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 1807 North Carolina
Eye and Vision Services Providers / Pediatrics 152WP0200X 1807 North Carolina

Profile Details

NPI number 1003966789
LBN Legal business name Tri City Optometric, P.A.
DBA Doing business as Tri City Optometric
Authorized official Tevis, Troy N O.D., PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Jul 15th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003966789 NPPES
North Carolina MEDICAID 89016R5
North Carolina Other 24491
North Carolina MEDICAID 89012F0
North Carolina Other 012F0
North Carolina Other 0313616
North Carolina Other 71877

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