Organization
TRI-STATE CENTERS FOR SIGHT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY W KEMPER (CREDENTIALS)
(859) 344-2079
Entity
Organization
Contact information
Practice address
9302 TOWNE SQUARE AVE, BLUE ASH, OH 45242-6943
(859) 581-7120
(859) 581-7207
Mailing address
PO BOX 631662, CINCINNATI, OH 45263-1662
(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
01
—
9279281
MEDICARE
OH
Enumeration date
09/18/2018
Last updated
10/03/2018
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