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Organization

RETINA PHYSICIANS & SURGEONS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERI KNIGHT (CREDENTIALS MANAGER)
(513) 569-3741
Entity
Organization

Contact information

Practice address
89 SYLVANIA DR, 2ND FL, DAYTON, OH 45440-3281
(937) 427-8900
(937) 427-1710
Mailing address
89 SYLVANIA DR, 2ND FL, DAYTON, OH 45440-3281
(937) 427-8900
(937) 427-1710

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0817718
OH
Enumeration date
10/02/2006
Last updated
10/31/2018
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