Organization
TRIAD PEDIATRIC EYE PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER HEIN (PRACTICE MANAGER)
(336) 245-8320
Entity
Organization
Contact information
Practice address
2554 LEWISVILLE CLEMMONS RD STE 308, CLEMMONS, NC 27012-8749
(336) 245-8320
(336) 293-4857
Mailing address
2554 LEWISVILLE CLEMMONS RD STE 308, CLEMMONS, NC 27012-8749
(336) 245-8320
(336) 293-4857
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
2010-01965
NC
Other
Enumeration date
09/12/2017
Last updated
07/21/2022
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