NPIMap

Organization Active NPI

Triangle Vision Care, O.D., P.a.

  • Optometrist
  • Wake Forest, NC
National Provider Identifier
1679771794
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1956 Issued in NC
Legal business name
TRIANGLE VISION CARE, O.D., P.A.
Practice address
2114 S Main St
Wake Forest, NC 27587-8817
Phone
(919) 556-8595
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Dr. Glenn A Klaus, O.D.
Title
President
Phone
(919) 556-8595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1956 NC Primary

Addresses

Primary practice location

2114 S Main St
Wake Forest, NC 27587-8817

Mailing address

PO Box 1215
Wake Forest, NC 27588-1215
Phone (919) 556-8595

National Provider Directory

National Provider Directory

Locations

1241 S Main St
Ste 14
Wake Forest, NC 27587
Phone (919) 554-0860

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1679771794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1215",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275881215",
            "telephone_number": "919-556-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 S MAIN ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275878817",
            "telephone_number": "919-556-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE VISION CARE, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "KLAUS",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-556-8595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.