Triangle Ophthalmology, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

2003-00294 Issued in NC

Legal business name

TRIANGLE OPHTHALMOLOGY, PA

Practice address

112 Perkins Dr.
Suite 400
Chapel Hill, NC 27514

Phone

(919) 960-2720

Fax

(919) 240-5660

NPI assigned

Jul 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Rachel Adelle Tesser, MDNPI 1134187495

Title

Owner

Phone

(919) 960-2720

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rachel A Tesser, MD

  • Ophthalmology Physician
  • Chapel Hill, NC
  • NPI 1134187495
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1295966117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 PERKINS DR.",
            "address_2": "SUITE 400",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27514",
            "telephone_number": "919-960-2720",
            "fax_number": "919-240-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 PERKINS DR.",
            "address_2": "SUITE 400",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27514",
            "telephone_number": "919-960-2720",
            "fax_number": "919-240-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE OPHTHALMOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "TESSER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ADELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-960-2720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2003-00294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.