Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tristate Optical, Inc

Organization Eyewear Supplier · NPI 1013903962

Tristate Optical, Inc is an Eyewear Supplier in Fort Wayne, Indiana. Registered with an NPI since 2005.

In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6424 W Jefferson Blvd
Fort Wayne, IN 46804-6204
Phone: (260) 436-2020
Fax: (260) 436-7628
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X

Record details

NPI number1013903962
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Bradley — Vice President · (260) 436-2020
Other names Cunningham Optical One
NPI enumeratedSeptember 26, 2005
Last updated in NPPESAugust 22, 2020
Mailing address6424 W Jefferson Blvd, Fort Wayne, IN 46804-6204

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