NPIMap

Organization Active NPI

Cei Physicians PSC LLC

  • Ophthalmology Physician
  • Edgewood, KY
National Provider Identifier
1033108592
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CEI PHYSICIANS PSC LLC
Practice address
580 S Loop Rd
Suite 200
Edgewood, KY 41017
Phone
(859) 331-9000
Fax
(859) 331-9040
NPI assigned
Oct 18, 2005
Last updated
Oct 11, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
CEI PHYSICIANS PSC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Teri J Knight
Title
Corporate Credentials Manager
Phone
(513) 569-3741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

580 S Loop Rd
Suite 200
Edgewood, KY 41017

Mailing address

1945 Cei Dr
Blue Ash, OH 45242-5664
Phone (513) 569-3741

Other identifiers 4

IdentifierTypeStateIssuer
100004440DMedicaidIN
CC6633OtherKYRAILROAD MEDICARE
2215721MedicaidOH
6592833500MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040401001367 KY Part B Supplier - Clinic/Group Practice 0749186427 Receives reassigned benefits from 46 practitioners
1 other NPI on this enrollment
Practice locations: Edgewood, KY

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Cincinnati Eyeinstitute9 organizations share this tax ID, including this one
Part of
Cincinnati Eyeinstitute

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

20 Medical Village Dr
Ste 200
Edgewood, KY 41017
Phone (859) 202-0407

580 S Loop Rd
Ste 200
Edgewood, KY 41017
Phone (859) 331-9000

Practitioners & affiliated clinicians

Practitioners 51

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 51

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1033108592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 CEI DR",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452425664",
            "telephone_number": "513-569-3741",
            "fax_number": "513-569-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 S LOOP RD",
            "address_2": "SUITE 200",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "41017",
            "telephone_number": "859-331-9000",
            "fax_number": "859-331-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEI PHYSICIANS PSC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CEI PHYSICIANS PSC LLC",
        "enumeration_date": "2005-10-18",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "TERI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CORPORATE CREDENTIALS MANAGER",
        "authorized_official_telephone_number": "513-569-3741",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100004440D",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC6633",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2215721",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6592833500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.