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General NPI Number Information
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NPI Number | 1396886610
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Entity Type | Organization
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Legal Business Name | TRI-STATE CENTERS FOR SIGHT, INC.
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Dates
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Enumeration Date | 02/09/2007
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 2865 CHANCELLOR DR SUITE 215
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City | CRESTVIEW HILLS
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State | KY
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Zip | 41017-3912
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Country | US
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Telephone | 859-581-7120
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Fax | 859-581-7207
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Provider Business Mailing Address
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Address Line | PO BOX 631662
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City | CINCINNATI
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State | OH
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Zip | 45263-1662
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Country | US
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Telephone | 859-581-7120
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Fax | 859-581-7207
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Authorized Official
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Title or Position | CHIEF REVENUE CYCLE OFFICER
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Name | CANDICE B DAVIS
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Credential |
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Telephone | 916-990-7590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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