Organization Active NPI

Triangle Eye Constituents, LLC

  • Ophthalmology Physician
  • Raleigh, NC
National Provider Identifier
1205510799
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
TRIANGLE EYE CONSTITUENTS, LLC
Practice address
9650 Brier Creek Pkwy Ste 103
Raleigh, NC 27617-6504
Phone
(803) 200-2071
NPI assigned
Jun 14, 2023
Last updated
Jun 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Kevin Nusz, MD
Title
Physician Owner Officer
Phone
(803) 517-1060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

9650 Brier Creek Pkwy Ste 103
Raleigh, NC 27617-6504

Mailing address

7512 Karley CT
Indian Land, SC 29707-5901
Phone (803) 517-1060

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1205510799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7512 KARLEY CT",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297075901",
            "telephone_number": "803-517-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 BRIER CREEK PKWY STE 103",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276176504",
            "telephone_number": "803-200-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE EYE CONSTITUENTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "NUSZ",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PHYSICIAN OWNER OFFICER",
        "authorized_official_telephone_number": "803-517-1060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.