Organization
CEI PHYSICIANS PSC LLC
Active
Organization
CEI PHYSICIANS PSC LLC
Active
Parent organization
CEI PHYSICIANS PSC LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CEI PHYSICIANS PSC LLC
Authorized official
MS. TERI J KNIGHT (CORPORATE CREDENTIALS MANAGER)
(513) 569-3741
Entity
Organization
Contact information
Practice address
580 S LOOP RD, SUITE 200, EDGEWOOD, KY 41017
(859) 331-9000
(859) 331-9040
Mailing address
1945 CEI DR, BLUE ASH, OH 45242-5664
(513) 569-3741
(513) 569-3941
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100004440D
—
IN
05
—
2215721
—
OH
05
—
6592833500
—
KY
01
—
CC6633
RAILROAD MEDICARE
KY
Enumeration date
10/18/2005
Last updated
10/11/2022
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