Provider Demographics
NPI:1861034423
Name:TRI-CITY EYES
Entity type:Organization
Organization Name:TRI-CITY EYES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:T
Authorized Official - Last Name:HAIR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:509-402-2399
Mailing Address - Street 1:203 FALLEY ST
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4456
Mailing Address - Country:US
Mailing Address - Phone:509-627-9277
Mailing Address - Fax:
Practice Address - Street 1:2170 KEENE RD
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-7726
Practice Address - Country:US
Practice Address - Phone:509-402-2399
Practice Address - Fax:509-260-8895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-15
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Multi-Specialty
No152WP0200XEye and Vision Services ProvidersOptometristPediatricsGroup - Multi-Specialty