Organization
TRI-STATE CENTERS FOR SIGHT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE B DAVIS (CHIEF REVENUE CYCLE OFFICER)
(916) 990-7590
Entity
Organization
Contact information
Practice address
2865 CHANCELLOR DR, SUITE 210, CRESTVIEW HILLS, KY 41017-3912
(859) 331-6616
(859) 331-5760
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
—
0382330
—
OH
05
—
100002110 L
—
IN
05
—
65925760
—
KY
05
—
77903425
—
KY
Enumeration date
12/01/2006
Last updated
02/12/2024
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