Organization
TRI-STATE CENTERS FOR SIGHT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL A NORDLOH (ADMINISTRATOR)
(859) 581-7120
Entity
Organization
Contact information
Practice address
1960 N BEND RD, SUITE H, HEBRON, KY 41048-9125
(859) 341-4525
(859) 341-4993
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
—
77000206
—
KY
Enumeration date
11/29/2006
Last updated
08/22/2020
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