Organization Active NPI

Triangle Eye Care, OD, PA

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1861692089
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1956 Issued in NC
Legal business name
TRIANGLE EYE CARE, OD, PA
Practice address
6021 Poyner Village Pkwy
Suite 115
Raleigh, NC 27616-3397
Phone
(919) 556-8595
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Dr. Glenn A Klaus, ODNPI 1891730420
Title
President
Phone
(919) 554-0860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

6021 Poyner Village Pkwy
Suite 115
Raleigh, NC 27616-3397

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100922001106 NC Part B Supplier - Clinic/Group Practice 5890811293 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

6021 Poyner Village Pkwy
Ste 115
Raleigh, NC 27616
Phone (919) 556-8595

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": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1861692089",
    "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": "6021 POYNER VILLAGE PKWY",
            "address_2": "SUITE 115",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276163397",
            "telephone_number": "919-556-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE EYE CARE, OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2010-05-05",
        "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": "919-554-0860",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1956",
            "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 May 5, 2010; 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.