# CVP SURGERY CENTER IVY POINTE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962031807
- **Authorized official:** MS. TERI KNIGHT (SN CREDENTIALS MANAGER)
- **Authorized official phone:** (513) 569-3741

## Contact information

- **Practice address:** 601 IVY GTWY STE 302, CINCINNATI, OH 45245-1898
- **Practice address phone:** (513) 984-5133
- **Mailing address:** 4445 LAKE FOREST DR STE 600, BLUE ASH, OH 45242-3744
- **Mailing address phone:** (513) 569-3741
- **Mailing address fax:** (513) 569-3941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/03/2020
- **Last updated:** 04/03/2020