Active NPI
Piedmont Eye Center, P.a.
- Ophthalmology Physician
- Greensboro, NC
National Provider Identifier
1760545792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- PIEDMONT EYE CENTER, P.A.
- Practice address
- 3810 N Elm St
Suite 209
Greensboro, NC 27455-2727 - Phone
- (336) 282-3940
- Fax
- (336) 282-8404
- NPI assigned
- Dec 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel Lester Tyson, M.D.
- Title
- Ophthalmologist
- Phone
- (336) 282-3940
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
3810 N Elm St
Suite 209
Greensboro, NC 27455-2727
Mailing address
3810 N Elm St
Suite 209
Greensboro, NC 27455-2727
Phone (336) 282-3940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890257X | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
3810 N Elm St
Ste 209
Greensboro, NC 27455
Phone (336) 282-3940
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Greensboro, NC
- NPI 1922182906
-
- Ophthalmology Physician
- Greensboro, NC
- NPI 1285638866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1760545792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3810 N ELM ST",
"address_2": "SUITE 209",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274552727",
"telephone_number": "336-282-3940",
"fax_number": "336-282-8404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3810 N ELM ST",
"address_2": "SUITE 209",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274552727",
"telephone_number": "336-282-3940",
"fax_number": "336-282-8404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIEDMONT EYE CENTER, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TYSON",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "LESTER",
"authorized_official_title_or_position": "OPHTHALMOLOGIST",
"authorized_official_telephone_number": "336-282-3940",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890257X",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
- Piedmont Advanced Therapy
- Piedmont ASC LLC
- Piedmont Cardiovascular, P.a.
- Piedmont Drug & Home Delivery, LLC
- Piedmont Drug & Home Delivery, LLC
- Piedmont Eye Surgical and Laser PLLC
- Piedmont Family and Sports Medicine, PLLC
- Piedmont Health Care for Women 2 LLC
- Piedmont Health Services and Sickle Cell Agency
- Piedmont Healthcare for Women
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.