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TRI-STATE DOCTORS OF NPI 1235415365


NPI Information

NPI: 1235415365
Provider Name: TRI-STATE DOCTORS OF

Doing Business As: KY DOCTORS OF OPTOMETRY

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
5220 FREDERICA ST
OWENSBORO, KY
ZIP 42301
Phone: (270) 684-1174
Get Directions

TRI-STATE DOCTORS OF is an eyewear supplier in Owensboro, KY. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. TRI-STATE DOCTORS OF NPI is 1235415365. The provider is registered as an organization entity type.
The provider Is Doing Business As Ky Doctors Of Optometry.

The provider's business location address is:

5220 FREDERICA ST
OWENSBORO, KY
ZIP 42301-420
Phone: (270) 684-1174

The provider's authorized official is Grant Rubesh .
The authorized official title is Owner and has the following contact phone number (726) 444-4078.

The enumeration date for this NPI number is 11/3/2011 and was last updated on 9/21/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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