Organization Active NPI

Cei Physicians PSC LLC

  • Eyewear Supplier
  • Montgomery, OH
National Provider Identifier
1801927785
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
CEI PHYSICIANS PSC LLC
Practice address
10615 Montgomery Rd Ste 202
Montgomery, OH 45242-4460
Phone
(513) 561-5655
Fax
(513) 561-2319
NPI assigned
Mar 9, 2007
Last updated
Oct 11, 2022By the provider in NPPES
Organization subpart
No

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
Teri J Knight
Title
SN Credentials Manager
Phone
(513) 569-3741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

10615 Montgomery Rd Ste 202
Montgomery, OH 45242-4460

Mailing address

4445 Lake Forest Dr Ste 600
Blue Ash, OH 45242-3744
Phone (513) 569-3741

Other names 1

  • Optical Shop Madeira Other name

National Provider Directory

National Provider Directory

Locations

7850 Camargo Rd
Madeira, OH 45243
Phone (513) 271-9700

10615 Montgomery Rd
Ste 202
Montgomery, OH 45242
Phone (513) 296-8332

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1801927785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 LAKE FOREST DR STE 600",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452423744",
            "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": "10615 MONTGOMERY RD STE 202",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452424460",
            "telephone_number": "513-561-5655",
            "fax_number": "513-561-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEI PHYSICIANS PSC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "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": "SN CREDENTIALS MANAGER",
        "authorized_official_telephone_number": "513-569-3741"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optical Shop Madeira",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Optical Shop Madeira",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Montgomery, OH

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.