Organization
TRI-STATE CENTERS FOR SIGHT INC
Active
Other names
Tri-State Centers For Sight Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL A NORDLOH (ADMINISTRATOR)
(859) 581-7120
Entity
Organization
Contact information
Practice address
8044 MONTGOMERY RD, SUITE 155, CINCINNATI, OH 45236-2919
(513) 936-3734
(513) 791-1473
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
—
—
261QS0132X
Ophthalmologic Surgery Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0648204
—
OH
Enumeration date
03/16/2011
Last updated
06/26/2013
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