Organization
TRI-STATE CENTERS FOR SIGHT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE C BARBERY (ADMINISTRATOR)
(859) 344-2062
Entity
Organization
Contact information
Practice address
4452 EASTGATE BLVD, SUITE 305, CINCINNATI, OH 45245-1584
(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
152W00000X
Optometrist
—
OH
207W00000X
Ophthalmology Physician
Primary
—
OH
367500000X
Certified Registered Nurse Anesthetist
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114410
—
OH
Enumeration date
11/26/2014
Last updated
03/30/2016
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