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

Tristate Professional Services Inc

Organization Optometrist · NPI 1194054452

Tristate Professional Services Inc is an Optometrist in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
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

2760 N Dirksen Pkwy Attn: Walmart Vision Ctr
Springfield, IL 62702-1448
Phone: (217) 522-4396
Fax: (217) 522-4861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 046006399 (IL)

Record details

NPI number1194054452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Edwards — President · (217) 259-8461
NPI enumeratedDecember 16, 2009
Last updated in NPPESDecember 16, 2009
Mailing address508 E Jackson St, Riverton, IL 62561-8064

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