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
7510 US ROUTE 42, FLORENCE, KY 41042-1908
(859) 581-7120
(859) 581-7207
Mailing address
2865 CHANCELLOR DR, SUITE 215, CRESTVIEW HILLS, KY 41017-3912
(859) 344-2079
(859) 581-7207
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65925760
—
KY
05
—
77903425
—
KY
Enumeration date
12/03/2014
Last updated
02/12/2024
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