Tristate Professional Services Inc

Tristate Professional Services Inc is a healthcare organization registered as Optometrist in Springfield, IL, holding Type 2 (organization) NPI 1194054452 since 2009. The authorized official on file is Robert Edwards, President.

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NPI	1194054452
Entity type	Organization (Type 2)
Legal business name	Tristate Professional Services Inc
Practice address	2760 N DIRKSEN PKWY, ATTN: WALMART VISION CTR, Springfield, IL, 62702
Phone	2175224396
Fax	2175224861
Enumeration date	2009-12-16
Last updated in NPPES	2009-12-16

Authorized official

Name	Robert Edwards
Title	President
Phone	2172598461

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
152W00000X	Optometrist	Primary	046006399	IL

Copy-ready billing details

Provider: Tristate Professional Services Inc
NPI: 1194054452
Taxonomy: 152W00000X (Optometrist)
Address: 2760 N DIRKSEN PKWY, ATTN: WALMART VISION CTR, Springfield, IL, 62702

Providers at this address

NPI	Name	Type	Specialty	Location
1396762688	Walmart Inc.	Organization	Community/Retail Pharmacy	Springfield, IL
1407939952	Wal-Mart Stores, Inc	Organization	Eyewear Supplier	Springfield, IL
1326667122	Ridge Lin	Individual	Pharmacist	Springfield, IL
1639779150	Gregory Booth	Individual	Pharmacist	Springfield, IL
1124628581	Kirk Klein	Individual	Pharmacist	Springfield, IL
1598365314	Lauren Ballweg	Individual	Pharmacist	Springfield, IL
1407528540	Nolan Rogers	Individual	Pharmacist	Springfield, IL

Verify this record

Cross-check NPI 1194054452 against the authoritative CMS record: view Tristate Professional Services Inc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Tristate Professional Services Inc located?

The practice location on file with NPPES is in Springfield, IL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-12-16. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-12-16.