TRI STATE OCULAR PROSTHETICS, LLC
NPI 1205974516
Technician/Technologist - Ocularist in Cincinnati, OH

Active since February 01, 2007
130 TRI COUNTY PKWY, SUITE 201, CINCINNATI, OH 45246(513) 771-6029(513) 771-6187 Get Directions Write a Review

NPPES record last updated: July 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tri State Ocular Prosthetics, Llc NPPES

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

TRI STATE OCULAR PROSTHETICS, LLC (NPI 1205974516) is a healthcare organization registered as an ocularist in Cincinnati, Ohio and active in the NPI registry since February 2007. The organization lists Andrew W Hetzler, President, as its authorized official.

NPPES Registry Identity

NPI1205974516
Entity TypeOrganization
Primary Taxonomy156FX1700X
Legal Business NameTRI STATE OCULAR PROSTHETICS, LLC
Location Address130 TRI COUNTY PKWY, SUITE 201Cincinnati, OH 45246-3289
Mailing Address130 Tri County Pkwy, Suite 201Cincinnati, OH 45246-3289 · (513) 771-6029 · Fax (513) 771-6187
Fax(513) 771-6187
Organization SubpartNo
Authorized OfficialAndrew W HetzlerPresident · (513) 310-2060
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJuly 11, 2016
NPI 1205974516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician/Technologist · OcularistEye and Vision Services Providers
Taxonomy Code156FX1700X
License Licensed in OH · O.11
Definition
An ocularist is a thoroughly trained professional skilled in the art of fitting, painting, and fabricating custom ocular prostheses. In addition to creating custom ocular prostheses, and providing long-term care through periodic examinations, an ocularist provides the patient with complete instructions on the care and maintenance of their prosthesis.
130 TRI COUNTY PKWY, Cincinnati, OH 45246

Other Identifiers 5

Medicaid7100005950KY
Medicaid0063218OH
Other=========-00OH · Ohio Bwc
Other511527OH · Anthem
Medicare NSC5904390001OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories Tri State Ocular Prosthetics LLC carries, from the Medicare DMEPOS supplier directory.

Tri State Ocular Prosthetics LLC

DMEPOS supplier · Cincinnati, OH

Does not accept Medicare assignment

Tri State Ocular Prosthetics LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20565779
Medicare Participant SinceMay 1, 2007
Supplier Location130 Tri County Pkwy Ste 201Cincinnati, OH 45246
Provider TypeOcularists

Medicare Product Categories

Ocular Prostheses
Prosthetic eyes
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 8

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

Pharmacist
130 TRI COUNTY PKWY
SPRINGDALE, OH 45246
Home Health
130 TRI COUNTY PKWY
CINCINNATI, OH 45246
Home Health
130 TRI COUNTY PKWY, STE 215
CINCINNATI, OH 45246
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
130 TRI COUNTY PKWY
SPRINGDALE, OH 45246
Pharmacist
130 TRI COUNTY PKWY
SPRINGDALE, OH 45246
Technician/Technologist (Ocularist)
130 TRI COUNTY PKWY, STE 201
CINCINNATI, OH 45246
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
130 TRI COUNTY PKWY
SPRINGDALE, OH 45246
Durable Medical Equipment & Medical Supplies
130 TRI COUNTY PKWY, SUITE 215
CINCINNATI, OH 45246

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 Tri State Ocular Prosthetics, LLC's NPI number?

The NPI number for Tri State Ocular Prosthetics, LLC is 1205974516. It was assigned to this organization in the NPPES registry on February 1, 2007.

Where is Tri State Ocular Prosthetics, LLC located?

Tri State Ocular Prosthetics, LLC is located at 130 Tri County Pkwy Suite 201, Cincinnati, OH 45246. The listed phone number is (513) 771-6029.

What is Tri State Ocular Prosthetics, LLC's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Ocularist, with taxonomy code 156FX1700X.

Does Tri State Ocular Prosthetics, LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Tri State Ocular Prosthetics LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Tri State Ocular Prosthetics, LLC accept?

Health plans from Molina Healthcare list Tri State Ocular Prosthetics, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tri State Ocular Prosthetics, LLC was last updated on July 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.