Cunningham Optical One
LBN: Tri-State Optical, Inc.
Cunningham Optical One is an health care organization with primary practice located at 5600-A East Virgina Street , Evansville IN 47715-2639. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optician is the primary health care specialty.
Tri-State Optical, Inc. can be contacted via phone (812) 477-2020, or through Cunningham, Chand E via phone (260) 482-1555.
Contact Information
Primary practice address
5600-A East Virgina Street
Evansville IN 47715-2639
Phone: (812) 477-2020
Fax: (812) 473-5653
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1275529125 |
|---|---|
| LBN Legal business name | Tri-State Optical, Inc. |
| DBA Doing business as | Cunningham Optical One |
| Authorized official | Cunningham, Chand E |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Nov 25th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275529125 | NPPES |
| Indiana | MEDICAID | 100280540A |
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