TRIAD OCULAR AND FACIAL PLASTIC SURGERY PLLC – NPI #1245737568
Ophthalmology

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

Health Care Provider Taxonomy Code for Ophthalmology

TRIAD OCULAR AND FACIAL PLASTIC SURGERY PLLC is an ophthalmologist located in BERMUDA RUN, NC. NPPES has assigned the NPI number 1245737568 to TRIAD OCULAR AND FACIAL PLASTIC SURGERY PLLC on April 12, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0200X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery

The NPI profile was previously updated about 7 years ago on Apr 05, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRIAD OCULAR AND FACIAL PLASTIC SURGERY PLLC below.

NPI Profile for
TRIAD OCULAR AND FACIAL PLASTIC SURGERY PLLC

NPI Number
1245737568
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRIAD OCULAR AND FACIAL PLASTIC SURGERY PLLC
Primary location
122 E KINDERTON WAY # B
BERMUDA RUN, NC 27006-7303
Phone: (336) 448-3060 Fax: (336) 998-3333
2 Other location(s):
2 Hospital Dr
Lexington, NC 27292-6781
Phone: (336) 448-3060
Fax: (336) 998-3333
225 East Lee Avenue
Yadkinville, NC 27055-7807
Phone: (336) 448-3060
Fax: (336) 998-3333
Mailing address
5335 ROBINHOOD VILLAGE DR # 178
WINSTON SALEM, NC 27106-9820
Phone: (336) 448-3060 Fax:
Organization Subpart
No
Authorized Official
MOLLY FULLER
OWNER
Phone: (336) 448-3060
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0200X
- Ophthalmology / Ophthalmic Plastic and Reconstructive Surgery (Primary)		 NC 2015-01115
2082S0099X
- Plastic Surgery / Plastic Surgery Within the Head and Neck		 NC 2015-01115

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.