Tristate Retina and Eye Center, LLC

NPI #1821440199 in Evansville, Indiana

Provider Information

NPI Number: 1821440199
Entity Type: Organization
Organization Name: Tristate Retina and Eye Center, LLC
Primary Specialty: Ophthalmology
Enumeration Date: Jul 11, 2016
Last Updated: Jul 11, 2016

Practice Location

Address: 350 W COLUMBIA ST
Address 2: SUITE 250
City: Evansville
State: Indiana
ZIP Code: 47710-1782
Phone: (812) 423-3161

Authorized Official

Name: DR. ANTHONY EKONG, MD
Title: PRESIDENT
Phone: (812) 423-3161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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