Joseph Thomas Mando (NPI# 1477997591, PAC ID# 5193031995) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1477997591 |
| PAC ID by PECOS | 5193031995 |
| Professional Enrollment ID | I20180521002434 |
| Full Name | Joseph Thomas Mando |
| Organization Legal Name | TRI-STATE CENTERS FOR SIGHT INC |
| Address |
2865 Chancellor Dr Suite 210 Crestview Hills KY 41017-3931 |
| Phone Number | 8593311058 |
| Gender | M |
| Medical School | KENTUCKY UNIVERSITY MEDICAL DEPARTMENT |
| Graduation Year | 2008 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 7113812090 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180035 | ST ELIZABETH EDGEWOOD |
| Address | Phone | Organization |
|---|---|---|
| 4452 Eastgate Blvd, Suite 305, Cincinnati, OH 45245-1584 | 5137525700 | TRI-STATE CENTERS FOR SIGHT INC |
| 2865 Chancellor Dr, Suite 210, Crestview Hills, KY 41017-3931 | 8593311058 | TRI-STATE CENTERS FOR SIGHT INC |
| 8760 Union Centre Blvd, West Chester, OH 45069-4876 | 5134540544 | TRI-STATE CENTERS FOR SIGHT INC |
| Organization Legal Name | TRI-STATE CENTERS FOR SIGHT INC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Clara Fahy | Optometry | Tri-state Centers for Sight Inc | 5340 Rapid Run Rd, Suite 2, Cincinnati, OH 45238-4260 |
| Jillian E Zimmer | Optometry | Tri-state Centers for Sight Inc | 1060 Nimitzview Dr, Suite 105, Cincinnati, OH 45230-4351 |
| Faizuddin M Khaja | Ophthalmology | Tri-state Centers for Sight Inc | 8760 Union Centre Blvd, West Chester, OH 45069-4876 |
| David Roscoe Adam | Ophthalmology | Tri-state Centers for Sight Inc | 1017 Main St, Hamilton, OH 45013-1605 |
| Philip James Poon | Ophthalmology | Tri-state Centers for Sight Inc | 1577 Goodman Ave B, Cincinnati, OH 45224-1044 |
| Philip G Kies | Optometry | Tri-state Centers for Sight Inc | 4452 Eastgate Blvd, Suite 305, Cincinnati, OH 45245-1584 |
| Saif Jaweed | Ophthalmology | Tri-state Centers for Sight Inc | 8211 Cornell Rd, Suite 510, Cincinnati, OH 45249-2277 |
| James J Sanitato | Ophthalmology | Tri-state Centers for Sight Inc | 6779 Colerain Ave, Cincinnati, OH 45239-5541 |
| Michael S Halpin | Ophthalmology | Tri-state Centers for Sight Inc | 500 Thomas More Pkwy, Crestview Hills, KY 41017-3454 |
| Jean M Noll | Ophthalmology | Tri-state Centers for Sight Inc | 7510 Us Hwy 42, Florence, KY 41042-1908 |
| Street Address |
2865 CHANCELLOR DR SUITE 210 |
| City | CRESTVIEW HILLS |
| State | KY |
| Zip | 41017-3931 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher J Devine | Ophthalmology | Tri-state Centers for Sight Inc | 2865 Chancellor Dr, Suite 210, Crestview Hills, KY 41017-3931 |
| Louis Joseph Schott | Ophthalmology | Tri-state Centers for Sight Inc | 2865 Chancellor Dr, Suite 210, Crestview Hills, KY 41017-3931 |
| Charles M Tirone | Podiatry | 2865 Chancellor Dr, Suite 205, Crestview Hills, KY 41017-3931 | |
| Matthew John Dykhuizen | Ophthalmology | Tri-state Centers for Sight Inc | 2865 Chancellor Dr, Suite 210, Crestview Hills, KY 41017-3931 |
| Anthony P Demaria | Podiatry | Foot Specialists of Greater Cincinnati | 2865 Chancellor Dr, Suite 205, Crestview Hills, KY 41017-3931 |
| Glenn H Hughes | Optometry | Tri-state Centers for Sight Inc | 2865 Chancellor Dr, Suite 210, Crestview Hills, KY 41017-3931 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Latasha M Swafford | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Erina T Emerson | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Dawna M Kennedy | Nurse Practitioner | Take Care Health Kentucky, P.s.c. | 606 Buttermilk Pike, Crescent Springs, KY 41017-1302 |
| Kelly Reitzes | Optometry | Wing Eyecare, Inc. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Paul T Bertram | Optometry | Bertram Eyecare, P.s.c. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Jamie Daniels Bertram | Optometry | Bertram Eyecare, P.s.c. | 705 Buttermilk Pike, Suite 100, Crescent Springs, KY 41017-1318 |
| Gena Grigson | Clinical Social Worker | 2521 Anderson Rd A, Crescent Springs, KY 41017-1521 | |
| Geraldine E Elliott | Clinical Social Worker | 2521 Anderson Rd A, Crescent Springs, KY 41017-1521 | |
| Merle C Helgeson | Chiropractic | 570 Buttermilk Pike, Crescent Springs, KY 41017-1635 | |
| Monica K Sullivan | Family Medicine | Christ Hospital Medical Associates, II LLC | 2156 Chamber Ctr Dr, Lakeside Park, KY 41017-1669 |
| Find all physicians in zip 41017 | |||
| City | CRESTVIEW HILLS |
| Zip Code | 41017 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | CRESTVIEW HILLS + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Joseph Thomas Mando.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.