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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
500 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-3454
(859) 341-4525
(859) 341-4993
Mailing address
2865 CHANCELLOR DR, SUITE 215, CRESTVIEW HILLS, KY 41017-3912
(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
0111751
OH
05
65925760
KY
05
77903425
KY
Enumeration date
10/09/2014
Last updated
02/12/2024
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