Active NPI
Eyesculpt PLLC
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Greensboro, NC
National Provider Identifier
1053161976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Legal business name
- EYESCULPT PLLC
- Practice address
- 4942 Hackamore Rd
Greensboro, NC 27410-9319 - Phone
- (336) 485-5530
- Fax
- (843) 790-1729
- NPI assigned
- Mar 25, 2024
- Last updated
- Mar 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony Leonard, MD, PHD
- Title
- Member
- Phone
- (336) 485-5530
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | NU | ||
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | NU | Primary |
Addresses
Primary practice location
4942 Hackamore Rd
Greensboro, NC 27410-9319
Mailing address
4942 Hackamore Rd
Greensboro, NC 27410-9319
Phone (336) 485-5530
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Greensboro, NC
- NPI 1619327434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711324800000",
"number": "1053161976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4942 HACKAMORE RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274109319",
"telephone_number": "336-485-5530",
"fax_number": "843-790-1729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4942 HACKAMORE RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274109319",
"telephone_number": "336-485-5530",
"fax_number": "843-790-1729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYESCULPT PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-25",
"last_updated": "2024-03-25",
"certification_date": "2024-03-24",
"status": "A",
"authorized_official_last_name": "LEONARD",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "336-485-5530",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, PHD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.