NPIMap

Organization Active NPI

Tristate Centers for Sight, Inc.

  • Ophthalmology Physician
  • Cincinnati, OH
National Provider Identifier
1710054309
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
TRISTATE CENTERS FOR SIGHT, INC.
Practice address
5571 Cheviot Rd
Cincinnati, OH 45247-7020
Phone
(513) 389-9911
NPI assigned
Nov 29, 2006
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
Jackie C Barbery
Title
Administrator
Phone
(859) 344-2062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

5571 Cheviot Rd
Cincinnati, OH 45247-7020

Mailing address

2865 Chancellor Dr Ste 215
Crestview Hills, KY 41017-3931

Other practice location 1

6909 Good Samaritan Dr
Suite B
Cincinnati, OH 45247-5207
Phone (513) 389-9911

Other identifiers 2

IdentifierTypeStateIssuer
100002110 OMedicaidIN
0400506MedicaidOH

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 Inc27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Locations

8760 Union Centre Blvd
West Chester, OH 45069
Phone (513) 454-0544

Practitioners & affiliated clinicians

Practitioners 3

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1710054309",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5571 CHEVIOT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452477020",
            "telephone_number": "513-389-9911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6909 Good Samaritan Dr",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452475207",
            "country_code": "US",
            "telephone_number": "513-389-9911",
            "fax_number": "513-389-7854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRISTATE CENTERS FOR SIGHT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "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": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002110 O",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0400506",
            "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 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.