SAMUEL LESTER TYSON MD NPI 1750327870

NPI Information

  • NPI: 1750327870
  • Provider Name: SAMUEL LESTER TYSON, MD
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • Address: 3810 N ELM ST
    209
    GREENSBORO, NC
    ZIP 27455
  • Phone: (336) 282-3940

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NPI Details

Samuel Lester Tyson, MD 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. Samuel Lester Tyson, MD NPI is 1750327870. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3810 N ELM ST
209
GREENSBORO, NC
ZIP 27455
Phone: (336) 282-3940
Fax: (336) 282-8404

The enumeration date for this NPI number is 6/20/2006 and was last updated on 7/8/2007.

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
1207W00000XOphthalmology38229NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E02427MEDICARE UPIN
2890257XMEDICAIDNORTH CAROLINA
3213858BMEDICARE ID-TYPE UNSPECIFIEDNORTH 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: 11/21/2025

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