Provider Demographics
NPI:1942296298
Name:CEI PHYSICIANS PSC LLC
Entity type:Organization
Organization Name:CEI PHYSICIANS PSC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SN MANAGER CORPORATE CREDENTIALS
Authorized Official - Prefix:MS
Authorized Official - First Name:TERI
Authorized Official - Middle Name:J
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-569-3741
Mailing Address - Street 1:1945 CEI DR
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-5664
Mailing Address - Country:US
Mailing Address - Phone:513-569-3741
Mailing Address - Fax:513-569-3941
Practice Address - Street 1:1945 CEI DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242
Practice Address - Country:US
Practice Address - Phone:513-569-3741
Practice Address - Fax:513-569-3941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH152W00000X, 207W00000X
OH0813AS261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0459847Medicaid
IN100004440AMedicaid
KY65928335Medicaid
OHCC6628OtherRAILROAD MEDICARE
OH9297681Medicare PIN
OH9285751Medicare PIN
OH9285754Medicare PIN
OH9282762Medicare PIN
OH9297684Medicare PIN
OH9298149Medicare PIN
OH9332541Medicare PIN
OH9282721Medicare PIN
OH9297682Medicare PIN
OHCC6628OtherRAILROAD MEDICARE
OH9292766Medicare PIN
OH9298143Medicare PIN
OH9292764Medicare PIN
IN100004440AMedicaid
OH9292767Medicare PIN
OH9297942Medicare PIN