Tri-State Optical, Inc.
Tri-State Optical, Inc. is a healthcare organization registered as Eyewear Supplier in Fort Wayne, IN, holding Type 2 (organization) NPI 1205822145 since 2005. The authorized official on file is Jerry Bradley, Vice President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1205822145 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Tri-State Optical, Inc. |
| Other name | <Unavail> |
| Practice address | 5233 COLDWATER RD, Fort Wayne, IN, 46825 |
| Phone | 2604821555 |
| Fax | 2604838287 |
| Enumeration date | 2005-09-26 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Jerry Bradley |
|---|---|
| Title | Vice President |
| Phone | 2604821555 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier | Primary | — | — |
Copy-ready billing details
Provider: Tri-State Optical, Inc. NPI: 1205822145 Taxonomy: 332H00000X (Eyewear Supplier) Address: 5233 COLDWATER RD, Fort Wayne, IN, 46825
Verify this record
Cross-check NPI 1205822145 against the authoritative CMS record: view Tri-State Optical, 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
What type of organization is Tri-State Optical, Inc.?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.