Triad Eye Associates of Greensboro, OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TRIAD EYE ASSOCIATES OF GREENSBORO, OD PA

Practice address

1577 New Garden Rd Ste B
Greensboro, NC 27410-2798

Phone

(336) 553-0800

NPI assigned

Sep 2, 2010

Last updated

Apr 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa D Moody

Title

Director of Insurance

Phone

(336) 687-7730

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 7

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.

• Lauren Cadwell

  • Optometrist
  • High Point, NC
  • NPI 1316781552
  Medicare reassignment Care Compare group NPD
• Cathy A Fulp, O.D.

  • Optometrist
  • Archdale, NC
  • NPI 1902803323
  Medicare reassignment Care Compare group NPD
• Stacey S Hutto, O.D.

  • Optometrist
  • Greensboro, NC
  • NPI 1447234711
  Medicare reassignment Care Compare group NPD
• William Neal Hutto, OD

  • Optometrist
  • High Point, NC
  • NPI 1821191669
  Medicare reassignment Care Compare group NPD
• Kimberly G Orr, OD

  • Optometrist
  • Greensboro, NC
  • NPI 1043611734
  Medicare reassignment Care Compare group NPD
• Mitchell N Evans, OD

  • Optometrist
  • Archdale, NC
  • NPI 1053147769
  Medicare reassignment NPD
• Charles Rick Gilliam, O.D.

  • Optometrist
  • High Point, NC
  • NPI 1720083199
  Medicare reassignment NPD

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1598072126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4370",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272634370",
            "telephone_number": "336-434-4033",
            "fax_number": "336-434-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 NEW GARDEN RD STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102798",
            "telephone_number": "336-553-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIAD EYE ASSOCIATES OF GREENSBORO, OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR OF INSURANCE",
        "authorized_official_telephone_number": "336-687-7730"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Triad Community Services, Inc.
• Triad Coordinated Services, Inc.
• Triad Coordinated Services, Inc.
• Triad Counseling & Clinical Service LLC (Triad Counseling & Clinical Services, LLC)
• Triad Dentistry
• Triad Eye Center OD, PA
• Triad Family and Childrens Services LLC
• Triad Family and Childrens Services LLC
• Triad Family and Childrens Services LLC
• Triad Family and Childrens Services LLC

• Optometrist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.