Organization
PIEDMONT EYE CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL LESTER TYSON M.D. (OPHTHALMOLOGIST)
(336) 282-3940
Entity
Organization
Contact information
Practice address
3810 N ELM ST, SUITE 209, GREENSBORO, NC 27455-2727
(336) 282-3940
(336) 282-8404
Mailing address
3810 N ELM ST, SUITE 209, GREENSBORO, NC 27455-2727
(336) 282-3940
(336) 282-8404
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890257X
—
NC
Enumeration date
12/19/2006
Last updated
08/22/2020
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