Tristate Optical, Inc.
NPI 1013903962 · Eyewear Supplier · Fort Wayne, IN
Enrolled with Medicare as Dme Supplier - Optician · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tristate Optical, Inc. is a Eyewear Supplier organization in Fort Wayne, IN (NPI 1013903962).
Provider details
- NPI number
- 1013903962
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jerry Bradley, Vice President(260) 436-2020
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Cunningham Optical One
Registry dates
- Enumerated
- 2005-09-26
- Last updated
- 2020-08-22
Frequently asked questions
- What is Tristate Optical, Inc.'s NPI number?
- Tristate Optical, Inc.'s National Provider Identifier (NPI) is 1013903962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tristate Optical, Inc.?
- Tristate Optical, Inc. is classified in the NPPES registry as Eyewear Supplier (Suppliers).
- Where is Tristate Optical, Inc. located?
- Tristate Optical, Inc.'s practice location on file with NPPES is 6424 W Jefferson Blvd, Fort Wayne, IN 46804-6204.
- What is Tristate Optical, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Tristate Optical, Inc. is (260) 436-2020.
- Does Tristate Optical, Inc. accept Medicare?
- Tristate Optical, Inc. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tristate Optical, Inc.?
- The authorized official listed on Tristate Optical, Inc.'s NPPES record is Jerry Bradley, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tristate Optical, Inc.'s NPI active?
- Yes — Tristate Optical, Inc.'s NPI (1013903962) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.