Tri-State Pediatric Ophthalmology, LLC

NPI #1205825122 in Martins Ferry, Ohio

Provider Information

NPI Number: 1205825122
Entity Type: Organization
Organization Name: Tri-State Pediatric Ophthalmology, LLC
Primary Specialty: Ophthalmology
Enumeration Date: Oct 14, 2005
Last Updated: Dec 27, 2007

Practice Location

Address: 222 N 5TH ST
Address 2: SUITE 201
City: Martins Ferry
State: Ohio
ZIP Code: 43935-1582
Phone: (740) 633-6671

Authorized Official

Name: DR. KENNETH M GAINER, MD
Title: OWNER
Phone: (740) 633-6671

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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