Organization
CEI PHYSICIANS PSC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERI J KNIGHT (SN CREDENTIALS MANAGER)
(513) 569-3741
Entity
Organization
Contact information
Practice address
10615 MONTGOMERY RD STE 202, MONTGOMERY, OH 45242-4460
(513) 984-5133
Mailing address
4445 LAKE FOREST DR STE 600, BLUE ASH, OH 45242-3744
(513) 569-3741
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2116392
—
OH
05
—
2116409
—
OH
05
—
2116418
—
OH
05
—
2116427
—
OH
05
—
2116436
—
OH
05
—
2116445
—
OH
05
—
2636928
—
OH
05
—
2655434
—
OH
01
—
CE9152
RAILROAD MEDICARE
OH
Enumeration date
05/22/2006
Last updated
10/11/2022
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