Organization Active NPI

Tri-State Centers for Sight Inc

Doing business as Midwest Eye Center

  • Ophthalmology Physician
  • Cincinnati, OH
National Provider Identifier
1376142182
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
TRI-STATE CENTERS FOR SIGHT INC
Doing business as
Midwest Eye Center
Practice address
8270 Pine Rd
Cincinnati, OH 45236-1900
Phone
(513) 791-5999
Fax
(513) 791-4567
NPI assigned
Oct 22, 2020
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Mary W Kemper
Title
Credentialing
Phone
(859) 344-2079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

8270 Pine Rd
Cincinnati, OH 45236-1900

Mailing address

2865 Chancellor Dr Ste 215
Crestview Hills, KY 41017-3931
Phone (859) 331-1058

Other names 1

  • Midwest Eye Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040326001333 OH Part B Supplier - Clinic/Group Practice 7113812090 Receives reassigned benefits from 29 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: West Chester, OH; Oxford, OH; Hillsboro, OH; Hamilton, OH; Cincinnati, OH; Blue Ash, OH
O20220524001243 OH DME Supplier - Physician - OphthalmologyDME Supplier - Optician 7113812090 Practice locations: Cincinnati, OH

Other NPIs with the same Medicare PAC ID 7

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

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 23

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1376142182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 CHANCELLOR DR STE 215",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173931",
            "telephone_number": "859-331-1058",
            "fax_number": "513-791-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8270 PINE RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452361900",
            "telephone_number": "513-791-5999",
            "fax_number": "513-791-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE CENTERS FOR SIGHT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-22",
        "last_updated": "2024-05-20",
        "certification_date": "2022-01-21",
        "status": "A",
        "authorized_official_last_name": "KEMPER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "859-344-2079"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midwest Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.