NPIMap

Organization Active NPI

Tri-State Centers for Sight Inc

Doing business as MidWest Eye Center

  • Ophthalmology Physician
  • Cincinnati, OH
National Provider Identifier
1801379797
Registry record updated Oct 3, 2018
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
5340 Rapid Run Rd Ste 2
Cincinnati, OH 45238-4260
Phone
(859) 581-7120
Fax
(859) 581-7207
NPI assigned
Sep 7, 2018
Last updated
Oct 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary
Pediatric Ophthalmology and Strabismus Specialist Physician 207WX0110X NU
Retina Specialist (Ophthalmology) Physician 207WX0107X NU

Addresses

Primary practice location

5340 Rapid Run Rd Ste 2
Cincinnati, OH 45238-4260

Mailing address

PO Box 631662
Cincinnati, OH 45263-1662
Phone (859) 344-2079

Other identifiers 1

IdentifierTypeStateIssuer
9279281OtherOHMEDICARE

Other names 1

  • MidWest Eye Center Doing business as

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

NPI Registry JSON

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1801379797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631662",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631662",
            "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": "5340 RAPID RUN RD STE 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452384260",
            "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": "2018-09-07",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "KEMPER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CREDENTIALS",
        "authorized_official_telephone_number": "859-344-2079"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0110X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "9279281",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "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 Oct 3, 2018; 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.