Organization Active NPI

Eyesculpt PLLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Greensboro, NC
National Provider Identifier
1053161976
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Anthony Leonard, MD, PHDNPI 1619327434
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)CodeLicenseStatePrimary
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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.