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NPI Code Detail

MEDICARE: TRI-STATE CENTERS FOR SIGHT, INC

MEDICARE: TRI-STATE CENTERS FOR SIGHT, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013314509
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRI-STATE CENTERS FOR SIGHT, INC
Provider Business Mailing Address
First Line : 2865 CHANCELLOR DR
Second Line : SUITE 215
City : CRESTVIEW HILLS
State : KY
Zip : 41017-3912
Country : US
Telephone Number : 859-344-2079
Fax Number : 859-581-7207
Provider Business Practice Location Address
First Line : 6779 COLERAIN AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45239-5541
Country : US
Telephone Number : 859-581-7120
Fax Number : 859-581-7207
Authorized Official
Title or Position : ADMINISTRATOR
Name : JACKIE C BARBERY
Credential :
Telephone Number : 859-344-2062
Provider Enumeration Date : 11/26/2014
Last Update Date : 03/30/2016

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Directions to “TRI-STATE CENTERS FOR SIGHT, INC ” Practice Location

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