TRIAD EYE ASSOCIATES OD PA (NPI# 1649228669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649228669 |
| Entity Type | Organization |
| Organization Name | TRIAD EYE ASSOCIATES OD PA |
| Practice Address |
10564 N Main St Suite E Archdale NC 27263-2808 |
| Mailing Address |
Po Box 4370 Archdale NC 27263-4370 |
| Practice Telephone | 3364344033 |
| Practice Fax Number | 3364346680 |
| Mailing Telephone | 3364344033 |
| Mailing Fax Number | 3364346680 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2008-10-08 |
| Authorized Official Name | DR. CHARLES R GILLIAM (OWNER) |
| Authorized Official Telephone | 3364344033 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 790274P | 05 | |
| NC | BCBS/NC | 0274P | 01 |
| Street Address |
10564 N MAIN ST SUITE E |
| City | ARCHDALE |
| State | NC |
| Zip Code | 27263-2808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902803323 | Cathy A Fulp | Optometrist | 10564 N Main St, Ste E, Archdale, NC 27263-2472 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639635725 | Home Care Premier Services, LLC | In Home Supportive Care | 10948e N. Main St, Archdale, NC 27263 | 2019-02-14 |
| 1740667807 | One Care Nc Inc | Home Health | 104418 North Main St, Archdale, NC 27263 | 2015-04-28 |
| 1720327968 | The Heag Pain Management Center Pa | Anesthesiology | 106 Baker Road, Archdale, NC 27263 | 2013-02-07 |
| 1548528177 | Christine Marie Enderlin | Counselor | 5373 Johnson Street, Archdale, NC 27263 | 2012-05-02 |
| 1922382654 | David Alan Rappaport | Pharmacist | 2850 South Main Street, Suite 101, High Point, NC 27263 | 2011-09-29 |
| 1508190430 | Carolina Drug of Randolph County LLC | Pharmacy | 10102 Unit S, South Main Street, Archdale, NC 27263 | 2009-09-24 |
| 1003064528 | Kenny Clinic of Chiropractic, P.a. | Chiropractor | 2400 S. Main St., High Point, NC 27263 | 2008-09-09 |
| 1689750234 | John David Ellington | Dentist | 3203 Archdale Rd, Archdale, NC 27263 | 2006-10-27 |
| 1831270214 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 2628 S. Main Street, High Point, NC 27263 | 2006-10-18 |
| 1639262488 | Earnst Clinic Inc | Chiropractor | 231 Baker Road, High Point, NC 27263 | 2006-10-02 |
| Find all providers in zip 27263 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902803323 | Cathy A Fulp | Optometrist | 10564 N Main St, Ste E, Archdale, NC 27263-2472 | 2005-06-30 |
| 1720083199 | Charles Rick Gilliam | Optometrist | 311 Trindale Rd, Ste D, Archdale, NC 27263-2771 | 2005-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566777 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 2145 Hendersonville Rd Ste D, Arden, NC 28704-9724 | 2020-10-20 |
| 1003420399 | Kyle Kiyoshi Harada | Optometrist | 1010 Stillwell Dr Unit 2422, Durham, NC 27707-6281 | 2020-09-03 |
| 1679186530 | Mackenzie Edwards Dziedzic | Optometrist | 3150 Rogers Rd Ste 110, Wake Forest, NC 27587-4196 | 2020-08-28 |
| 1922611342 | Wise Eyes Family Eye Care, Od, Pllc | Optometrist | 631 Coliseum Dr Ste 102, Winston Salem, NC 27106-5310 | 2020-08-25 |
| 1760094601 | Myeyedr Optometry of North Carolina Pllc | Optometrist | 1910 Jake Alexander Blvd W Ste 101, Salisbury, NC 28147-1163 | 2020-08-21 |
| 1992313977 | National Vision Inc | Optometrist | 1497 Concord Pkwy N Ste 100, Concord, NC 28025-0822 | 2020-07-16 |
| 1821612409 | New Garden Eye Care Od Pllc | Optometrist | 3707 Battleground Ave Ste C, Greensboro, NC 27410-2543 | 2020-05-30 |
| 1962026534 | Francis Xavier Parr IIi | Optometrist | 7711 Arboretum Dr Apt 204, Charlotte, NC 28270-0016 | 2020-05-29 |
| 1417576620 | Professional Vision Care, Od, Pllc | Optometrist | 1624 Nc #14 Highway, Reidsville, NC 27320 | 2020-04-09 |
| 1609400381 | Idealeyes, O.d., Pllc | Optometrist | 905 Boyer Dr, Clemmons, NC 27012-9476 | 2020-03-02 |
| Find all providers with the same taxonomy | ||||
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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.