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CUNNINGHAM OPTICAL ONE
NPI 1013903962
Eyewear Supplier in Fort Wayne, IN

Active since September 26, 2005
6424 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 436-2020(260) 436-7628 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cunningham Optical One NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CUNNINGHAM OPTICAL ONE (NPI 1013903962) is a healthcare organization registered as an eyewear supplier in Fort Wayne, Indiana and active in the NPI registry since September 2005. The organization lists Jerry L Bradley, Vice President, as its authorized official.

NPPES Registry Identity

NPI1013903962
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameTRISTATE OPTICAL, INC.
Location Address6424 W JEFFERSON BLVDFort Wayne, IN 46804-6204
Mailing Address6424 W Jefferson BlvdFort Wayne, IN 46804-6204 · (260) 436-2020 · Fax (260) 436-7628
Phone(260) 436-2020
Fax(260) 436-7628
Organization SubpartNo
Authorized OfficialJerry L BradleyVice President · (260) 436-2020
Enumeration DateSeptember 26, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013903962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
6424 W JEFFERSON BLVD, Fort Wayne, IN 46804
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Other Names 1

Doing Business AsCunningham Optical One

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL OWEN YOUNG OD
Optometrist
6424 W JEFFERSON BLVD, SUITE A
FORT WAYNE, IN 46804
Allen County (260) 436-7530
NICOLAS A SOULIER P C
Optometrist
6424 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 969-1400
MICHAEL O YOUNG OD PC
Optometrist
6424 W JEFFERSON BLVD, SUITE A
FORT WAYNE, IN 46804
Allen County (260) 969-1400
DR. LAUREN CUNNINGHAM OD
Optometrist
6424 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 436-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tristate Optical, Inc.'s NPI number?

The NPI number for Tristate Optical, Inc. is 1013903962. It was assigned to this organization in the NPPES registry on September 26, 2005. The provider is doing business as Cunningham Optical One.

Where is Tristate Optical, Inc. located?

Tristate Optical, Inc. is located at 6424 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 436-2020.

What is Tristate Optical, Inc.'s specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Tristate Optical, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.