Organization
TRI-STATE CENTERS FOR SIGHT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL A NORDLOH (CEO)
(859) 581-7120
Entity
Organization
Contact information
Practice address
4440 RED BANK RD, SUITE 210, CINCINNATI, OH 45227-2177
(513) 381-1900
(513) 287-6403
Mailing address
802 SCOTT ST, SUITE 201, COVINGTON, KY 41011-2420
(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
—
0055665
—
OH
Enumeration date
10/17/2011
Last updated
02/23/2012
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