Organization
TRIAD EYE ASSOCIATES OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA D MOODY (DIRECTOR OF INSURANCE)
(336) 687-7730
Entity
Organization
Contact information
Practice address
10564 N MAIN ST, SUITE E, ARCHDALE, NC 27263-2808
(336) 434-4033
(336) 434-6680
Mailing address
PO BOX 4370, ARCHDALE, NC 27263-4370
(336) 434-4033
(336) 434-6680
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0274P
BCBS/NC
NC
Enumeration date
05/04/2006
Last updated
04/15/2025
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