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PIEDMONT RETINA SPECIALISTS P.A. NPI 1477788297


NPI Information

NPI: 1477788297
Provider Name: PIEDMONT RETINA SPECIALISTS, P.A.
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1132 NORTH CHURCH STREET
SUITE 103
GREENSBORO, NC
ZIP 27401
Phone: (336) 369-7100
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PIEDMONT RETINA SPECIALISTS, P.A. is an ophthalmology in Greensboro, 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. PIEDMONT RETINA SPECIALISTS, P.A. NPI is 1477788297. The provider is registered as an organization entity type.

The provider's business location address is:

1132 NORTH CHURCH STREET
SUITE 103
GREENSBORO, NC
ZIP 27401-040
Phone: (336) 369-7100
Fax: (336) 369-7101

The provider's authorized official is Jason Browning Sanders .
The authorized official title is Provider/physician and has the following contact phone number (336) 369-7100.

The enumeration date for this NPI number is 5/22/2009 and was last updated on 6/10/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical Specialty2005-00329NORTH CAROLINANo
2207W00000XOphthalmology2005-00329NORTH CAROLINANo
3207W00000XOphthalmology9801464NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12041481AMEDICARE UPINNORTH CAROLINA
25913879MEDICAIDNORTH 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

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