TRI STATE OCULAR PROSTHETICS, LLC – Ocularist, NPI 1205974516

TRI STATE OCULAR PROSTHETICS, LLC is a healthcare provider. based in Cincinnati, Ohio. specializing in Ocularist. The organization holds a License No. O.11 (OH). The NPI Number for TRI STATE OCULAR PROSTHETICS, LLC is 1205974516

Main info

Organization
Name
TRI STATE OCULAR PROSTHETICS, LLC
NPI
1205974516
Phone
(513) 771-6029
Address
130 TRI COUNTY PKWY
Authorized Official
ANDREW W HETZLER PRESIDENT B.C.O., B.A.D.O.
Enumeration Date
1 February 2007
Last Update Date
11 July 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for TRI STATE OCULAR PROSTHETICS, LLC

  • 130 TRI COUNTY PKWY

    SUITE 201

    CINCINNATI, OH 452463289

    Phone: (513) 771-6029

    Fax: (513) 771-6187

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-11-30 (192 days ago).

Enrollment records

1

Earliest due date

2025-11-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930099093OOcularistOH2025-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45246)

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Reviews

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Frequently asked questions

What is TRI STATE OCULAR PROSTHETICS, LLC's NPI number?
TRI STATE OCULAR PROSTHETICS, LLC's NPI is 1205974516 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to TRI STATE OCULAR PROSTHETICS, LLC?
You should see TRI STATE OCULAR PROSTHETICS, LLC as active in CMS-hosted NPPES data.
What clinical focus is listed for TRI STATE OCULAR PROSTHETICS, LLC?
At a glance, TRI STATE OCULAR PROSTHETICS, LLC is tied to Ocularist. Clinical services aligned with this taxonomy classification.
What locale is associated with TRI STATE OCULAR PROSTHETICS, LLC?
Directory geography for TRI STATE OCULAR PROSTHETICS, LLC centers on Cincinnati, Ohio.
Does TRI STATE OCULAR PROSTHETICS, LLC accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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