NPIMap

Organization Active NPI

Triad Cornea Community

  • Eye Bank
  • Winston Salem, NC
National Provider Identifier
1154951721
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eye BankTaxonomy code 332G00000X
Legal business name
TRIAD CORNEA COMMUNITY
Practice address
3900 Westpoint Blvd Ste F
Winston Salem, NC 27103-6798
Phone
(847) 910-2473
NPI assigned
Jan 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Authorized official

Name
Dean Vavra
Title
Ceo
Phone
(800) 908-5098

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eye Bank 332G00000X Primary

Addresses

Primary practice location

3900 Westpoint Blvd Ste F
Winston Salem, NC 27103-6798

Mailing address

3900 Westpoint Blvd Ste F
Winston Salem, NC 27103-6798
Phone (847) 910-2473

National Provider Directory

National Provider Directory

Locations

3900 Westpoint Blvd
Ste F
Winston Salem, NC 27103
Phone (847) 910-2473

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1154951721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 WESTPOINT BLVD STE F",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036798",
            "telephone_number": "847-910-2473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 WESTPOINT BLVD STE F",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036798",
            "telephone_number": "847-910-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD CORNEA COMMUNITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "VAVRA",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-908-5098"
    },
    "taxonomies": [
        {
            "code": "332G00000X",
            "taxonomy_group": "",
            "desc": "Eye Bank",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.