PRIVATE DIAGNOSTIC CLINIC PLLC NPI 1992802128

NPI Information

  • NPI: 1992802128
  • Provider Name: PRIVATE DIAGNOSTIC CLINIC, PLLC
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • Other Name: DUKE EYE WINSTON SALEM
  • CLIA Number: 34D2127285
  • Address: 2025 FRONTIS PLAZA BLVD
    SUITE 100
    WINSTON SALEM, NC
    ZIP 27103
  • Phone: (336) 768-3240

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NPI Details

PRIVATE DIAGNOSTIC CLINIC, PLLC is an ophthalmology in Winston Salem, 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. PRIVATE DIAGNOSTIC CLINIC, PLLC NPI is 1992802128. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Duke Eye Winston Salem.

The provider's business location address is:

2025 FRONTIS PLAZA BLVD
SUITE 100
WINSTON SALEM, NC
ZIP 27103-663
Phone: (336) 768-3240

The provider's authorized official is Christopher Thomas Frederick .
The authorized official title is Cfo and has the following contact phone number (919) 613-7762.

The CLIA number assigned to this NPI record is 34D2127285 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 7/11/2022.

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
1207W00000XOphthalmologyYes

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
18902034MEDICAIDNORTH 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: 3/30/2025

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