Organization
WAKE FOREST HEALTH NETWORK LLC
Active
Organization
WAKE FOREST HEALTH NETWORK LLC
Active
Other names
Atrium Health Wake Forest Baptist Ophthalmology - Oak Hollow
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG MICHAEL GREVEN MD (SR VP CLINICAL OPERATIONS)
(336) 716-1331
Entity
Organization
Contact information
Practice address
1565 N UNIVERSITY PARKWAY, HIGH POINT, NC 27262-7612
(336) 802-2020
(336) 802-2021
Mailing address
1565 N UNIVERSITY PKWY, HIGH POINT, NC 27262-7613
(336) 802-2020
(336) 802-2021
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0246J
BCBS
NC
01
—
1212660016
DME
NC
01
—
22797
MEDCOST
NC
01
—
7719721
AETNA
NC
05
—
890246J
—
NC
01
—
=========
TRICARE
NC
01
—
CB8658
RR MEDICARE
NC
01
—
CC4241
RR MEDICARE
NC
01
—
CC4243
RR MEDICARE
NC
01
—
CD6614
RR MEDICARE
NC
01
—
D266
PARTNERS
NC
Enumeration date
03/13/2007
Last updated
09/25/2025
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