NPIMap

Organization Active NPI

Forsyth Eye Health and Surgery PC

  • Ophthalmology Physician
  • Winston Salem, NC
National Provider Identifier
1962066191
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
FORSYTH EYE HEALTH AND SURGERY PC
Practice address
2827 Lyndhurst Ave Ste 204
Winston Salem, NC 27103-4145
Phone
(336) 528-9888
NPI assigned
Apr 23, 2019
Last updated
Oct 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
Susanna S Ringeman, MDNPI 1700097060
Title
Owner
Phone
(336) 842-5477

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
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

2827 Lyndhurst Ave Ste 204
Winston Salem, NC 27103-4145

Mailing address

2827 Lyndhurst Ave Ste 204
Winston Salem, NC 27103-4145
Phone (336) 842-5477

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190801001618 NC Part B Supplier - Clinic/Group Practice 4880920503 Receives reassigned benefits from 3 practitioners
Practice locations: Winston Salem, NC

National Provider Directory

National Provider Directory

Locations

2827 Lyndhurst Ave
Ste 204
Winston Salem, NC 27103
Phone (336) 768-0725

Interoperability endpoints

  • Direct secure messaging: cziel@forsytheye.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1962066191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2827 LYNDHURST AVE STE 204",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034145",
            "telephone_number": "336-842-5477",
            "fax_number": "336-602-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 LYNDHURST AVE STE 204",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034145",
            "telephone_number": "336-528-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH EYE HEALTH AND SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "RINGEMAN",
        "authorized_official_first_name": "SUSANNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-842-5477",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.