Tri-State Doctors Of in Louisville - Eyewear Supplier

Tri-State Doctors Of - NPI 1205919099

Tri-State Doctors Of is a Eyewear Supplier in Louisville, Kentucky. Tri-State Doctors Of practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Tri-State Doctors Of is 1205919099. The last update date is 2023-09-21.

Tri-State Doctors Of's current location address is 1001 Breckinridge Lane, Louisville, Kentucky. You can contact this provider via phone number 5028932015 and fax number 5024512934. The mailing address for Tri-State Doctors Of is 1001 Breckinridge Lane, Louisville, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Organization Tri-State Doctors Of
Address 1001 Breckinridge Lane, Louisville, Kentucky
Phone Number 5028932015
Fax Number 5024512934
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Rubesh Grant
Credentials O.D.
Telephone Number 7264444078

NPI Number Detail

NPI Number 1205919099
Provider Enumeration Date 2006-10-23
Last Updated Date 2023-09-21

Provider Mailing Address Detail

Address 1001 Breckinridge Lane
City Louisville
State Kentucky (KY)
Post Code 40207
Phone Number 5028932015
Fax Number 5024512934

Provider's Primary Taxonomy Detail

Speciality Eyewear Supplier
Taxonomy 332H00000X
Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100470960F IN --
7790297100 KY --

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FAQs about Tri-State Doctors Of

What is the Tri-State Doctors Of's unique identification number?

The Tri-State Doctors Of has been assigned the NPI (National Provider Identifier) Number 1205919099 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Tri-State Doctors Of is physically located?

The Tri-State Doctors Of is situated at the following address: 1001 Breckinridge Lane, Louisville, KY 40207.

What is Tri-State Doctors Of's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Tri-State Doctors Of is Eyewear Supplier, and the taxonomy code that categorizes this field of expertise is 332H00000X.

When did Tri-State Doctors Of receive its 1205919099 assignment?

The Tri-State Doctors Of was assigned its 1205919099 on 2006-10-23, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Tri-State Doctors Of most recently updated or revised?

The information pertaining to Tri-State Doctors Of, including its address, specialty, and other relevant details, was last updated or revised on 2023-09-21.

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