KOALA EYE CENTRE PC (NPI# 1376722231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376722231 |
| Entity Type | Organization |
| Organization Name | KOALA EYE CENTRE PC |
| Practice Address |
719 Green Valley Rd Ste. 303 Greensboro NC 27408-7014 |
| Practice Telephone | 3363782511 |
| Practice Fax Number | 3363781186 |
| Mailing Telephone | 3363782511 |
| Mailing Fax Number | 3363781186 |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2008-04-14 |
| Authorized Official Name | MICHAEL ANTONIO SPENCER (PRESIDENT/ OWNER) |
| Authorized Official Telephone | 3363782511 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
200100470 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8913132 | 05 |
| Street Address |
719 GREEN VALLEY RD STE. 303 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27408-7014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481576 | Andres Ramgoolam | Pediatrics | 719 Green Valley Rd, Ste 209, Greensboro, NC 27408-7014 | 2005-07-14 |
| 1003268848 | Spenser Robert Beasley | Nurse Practitioner | 719 Green Valley Rd, Suite 209, Greensboro, NC 27408-7014 | 2016-07-05 |
| 1578956546 | Lynn Klett | Nurse Practitioner | 719 Green Valley Rd, Suite 209, Greensboro, NC 27408-7014 | 2015-03-13 |
| 1497155857 | Green Valley Ob/gyn | Obstetrics & Gynecology | 719 Green Valley Rd, Suite 201, Greensboro, NC 27408-7014 | 2014-09-03 |
| 1013285659 | Niyati Patel | Optometrist | 719 Green Valley Rd, Suite #105, Greensboro, NC 27408-7014 | 2011-12-11 |
| 1295013670 | Moses Cone Affiliated Physicians Inc. | Obstetrics & Gynecology | 719 Green Valley Rd, Suite 101, Greensboro, NC 27408-7014 | 2011-08-02 |
| 1215222021 | Dyanna Geffel Clark | Obstetrics & Gynecology | 719 Green Valley Rd, Suite 201, Greensboro, NC 27408-7014 | 2011-06-09 |
| 1326346602 | Moses Cone Affiliated Physicians, Inc | Pediatrics | 719 Green Valley Rd, Suite 209, Greensboro, NC 27408-7014 | 2011-03-10 |
| 1013231943 | Infocus Eyewear | Clinic/Center | 719 Green Valley Rd, Ste 303 B, Greensboro, NC 27408-7014 | 2010-03-22 |
| 1700026127 | Walda Stacia Pinn | Obstetrics & Gynecology | 719 Green Valley Rd, Suite 2, Greensboro, NC 27408-7014 | 2009-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702216 | Nova Home Health LLC | Registered Nurse | 18418 Banking Street Num 9141, Greensboro, NC 27408 | 2020-08-26 |
| 1801410394 | Rachel Lynn Harmon | Behavior Technician | 717 Green Valley Road, Suite 200, Greensboro, NC 27408 | 2020-06-01 |
| 1013551605 | Paige August Becker | Physical Therapist | Southeastern Orthopaedic Specialists, 1915 Lendew Street, Greensboro, NC 27408 | 2019-11-06 |
| 1174164057 | Regenerative Medical Institute,pllc | Anesthesiology | 1305 W. Wendover Ave., Ste A, Greensboro, NC 27408 | 2019-10-02 |
| 1154979912 | Adrian Wilkins | Behavior Technician | 717 Green Valley Rd., Suite 200 Office 231, Greensboro, NC 27408 | 2019-08-26 |
| 1902392723 | Monaca Johnson | Counselor | 1515 W Cornwallis Dr G105, Greensboro, NC 27408 | 2018-07-04 |
| 1801395850 | Germaine Nichols | Behavioral Analyst | 2311 West Cone Boulevard, Studio 110 A, Greensboro, NC 27408 | 2018-02-06 |
| 1790283844 | Naomi Lane, D.d.s., P.a. | Dentist | 2600-a Oakcrest Ave, Greensboro, NC 27408 | 2018-01-24 |
| 1578084034 | Cone Health Connected Care, LLC | Nurse Practitioner | 2800 Lawndale Dr Ste 109, Greensboro, NC 27408 | 2017-07-05 |
| 1598204315 | The Pleasants Group, Pllc | Social Worker | 1400 Battleground Ave Suite 112 A & B, Greensboro, NC 27408 | 2017-02-13 |
| Find all providers in zip 27408 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023632270 | Seacore Management, LLC | Clinic/Center | 1717 Shipyard Blvd Ste 140, Wilmington, NC 28403-8019 | 2020-06-03 |
| 1356976658 | Metrolina Eye Surgery Center, LLC | Clinic/Center | 4101 Campus Ridge Rd Ste 200, Matthews, NC 28105-5077 | 2020-03-06 |
| 1124574041 | The Cataract Vision Insitute LLC | Clinic/Center | 2525 Meridian Pkwy, Suite 125, Durham, NC 27713-5243 | 2016-08-31 |
| 1235572363 | Kulits Eyecare & Surgery Pllc | Clinic/Center | 201 S Madison Blvd, Roxboro, NC 27573-5461 | 2013-04-08 |
| 1457474355 | Albert R Munn IIi Md Pa | Clinic/Center | 720 W Jones St, Raleigh, NC 27603-1427 | 2007-04-08 |
| 1003960741 | Columbus Eye Associates, Inc. | Clinic/Center | 521 E Morehead St, Suite 130, Charlotte, NC 28202-2631 | 2007-01-22 |
| 1467060327 | Summit Eye Care Surgery Center, Pllc | Clinic/Center | 3073 Trenwest Dr, Winston Salem, NC 27103-3207 | 2020-07-16 |
| 1447878970 | Eye Care & Surgeons of Charlotte, Pllc | Clinic/Center | 602 S Sutherland Ave, Monroe, NC 28112-5063 | 2020-07-10 |
| 1720629637 | Raleigh Eye and Face Plastic Surgery Pllc | Clinic/Center | 4201 Lake Boone Trl Ste 103, Raleigh, NC 27607-7511 | 2019-10-01 |
| 1659826295 | The Cataract Vision Institute LLC | Clinic/Center | 330 Billingsley Rd, Suite 205, Charlotte, NC 28211-5055 | 2016-08-24 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27408 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.