KOALA EYE CENTRE PC NPI 1376722231

NPI Information

NPI: 1376722231
Provider Name: KOALA EYE CENTRE PC
Classification: Clinic/Center - 261QS0132X
Entity Type: Organization

Specialization: Ophthalmologic Surgery

Address:
719 GREEN VALLEY RD
STE. 303
GREENSBORO, NC
ZIP 27408
Phone: (336) 378-2511
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KOALA EYE CENTRE PC is an ophthalmologic surgery clinic center in Greensboro, NC. KOALA EYE CENTRE PC NPI is 1376722231. The provider is registered as an organization entity type.

The provider's business location address is:

719 GREEN VALLEY RD
STE. 303
GREENSBORO, NC
ZIP 27408-014
Phone: (336) 378-2511
Fax: (336) 378-1186

The provider's authorized official is Michael Antonio Spencer .
The authorized official title is President/ Owner and has the following contact phone number (336) 378-2511.

The enumeration date for this NPI number is 10/29/2007 and was last updated on 4/14/2008.

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
1	261QS0132X	Clinic/Center	Ophthalmologic Surgery	200100470	NORTH CAROLINA	Yes

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
1	2328003	MEDICARE PIN	NORTH CAROLINA
2	8913132	MEDICAID	NORTH CAROLINA

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: 4/28/2024

NPI Synchronization or Removal

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