WAKE FOREST HEALTH NETWORK LLC NPI 1104959055

NPI Information

  • NPI: 1104959055
  • Provider Name: WAKE FOREST HEALTH NETWORK LLC
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • Doing Business As: ATRIUM HEALTH WAKE FOREST BAPTIST OPHTHALMOLOGY - OAK HOLLOW
  • Address: 1565 N UNIVERSITY PARKWAY
    HIGH POINT, NC
    ZIP 27262
  • Phone: (336) 802-2020

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NPI Details

WAKE FOREST HEALTH NETWORK LLC is an ophthalmology in High Point, NC. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. WAKE FOREST HEALTH NETWORK LLC NPI is 1104959055. The provider is registered as an organization entity type.
The provider Is Doing Business As Atrium Health Wake Forest Baptist Ophthalmology - Oak Hollow.

The provider's business location address is:

1565 N UNIVERSITY PARKWAY
HIGH POINT, NC
ZIP 27262-612
Phone: (336) 802-2020
Fax: (336) 802-2021

The provider's authorized official is Russell Mars Howerton .
The authorized official title is Sr Vp Network Phys & Hs Cmo and has the following contact phone number (336) 716-1331.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 11/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1890246JMEDICAIDNORTH CAROLINA
222797OTHERNORTH CAROLINAMEDCOST
3CD6614OTHERNORTH CAROLINARR MEDICARE
41212660016OTHERNORTH CAROLINADME
5CC4243OTHERNORTH CAROLINARR MEDICARE
6CB8658OTHERNORTH CAROLINARR MEDICARE
77719721OTHERNORTH CAROLINAAETNA
8=========OTHERNORTH CAROLINATRICARE
9D266OTHERNORTH CAROLINAPARTNERS
100246JOTHERNORTH CAROLINABCBS
11CC4241OTHERNORTH CAROLINARR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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