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
7730 MONTGOMERY RD, SUITE 120, CINCINNATI, OH 45236-4283
(513) 791-5999
(513) 791-4567
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
—
0188336
—
OH
Enumeration date
12/04/2006
Last updated
03/08/2011
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