NPIMap

Organization Active NPI

Tri-State Centers for Sight, Inc

  • Ophthalmology Physician
  • Cincinnati, OH
National Provider Identifier
1669879151
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
TRI-STATE CENTERS FOR SIGHT, INC
Practice address
4452 Eastgate Blvd
Suite 305
Cincinnati, OH 45245-1584
Phone
(859) 581-7120
Fax
(859) 581-7207
NPI assigned
Nov 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Jackie C Barbery
Title
Administrator
Phone
(859) 344-2062

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OH
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X OH Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X OH

Addresses

Primary practice location

4452 Eastgate Blvd
Suite 305
Cincinnati, OH 45245-1584

Mailing address

2865 Chancellor Dr
Suite 215
Crestview Hills, KY 41017-3912
Phone (859) 344-2079

Other identifiers 1

IdentifierTypeStateIssuer
0114410MedicaidOH

Medicare participation

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

Enrollment records 1

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

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
Tax ID family
Tri-State Centers for Sight Inc26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

4452 Eastgate Blvd
Ste 305
Cincinnati, OH 45245
Phone (513) 752-5700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1669879151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 CHANCELLOR DR",
            "address_2": "SUITE 215",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173912",
            "telephone_number": "859-344-2079",
            "fax_number": "859-581-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4452 EASTGATE BLVD",
            "address_2": "SUITE 305",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452451584",
            "telephone_number": "859-581-7120",
            "fax_number": "859-581-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE CENTERS FOR SIGHT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "BARBERY",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "859-344-2062"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0114410",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 30, 2016; 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.