Organization
TRI-STATE CENTERS FOR SIGHT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL A NORDLOH (ADMINISTRATOR)
(859) 581-7120
Entity
Organization
Contact information
Practice address
7 W 7TH ST, COVINGTON, KY 41011-2301
(859) 581-2212
(859) 581-4337
Mailing address
PO BOX 631662, CINCINNATI, OH 45263-1662
(859) 581-7120
(859) 581-7207
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002110 C
—
IN
05
—
65925760
—
KY
05
—
77903425
—
KY
Enumeration date
11/30/2006
Last updated
02/17/2014
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