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Triad Eye Center Od, PA

Optometrist in Greensboro, NC · enumerated 2007 · authorized official Timothy Koop, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104966845

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Registry record

Entity type Organization (Type 2)
Legal business name Triad Eye Center Od, PA
Practice address 1305 Lees Chapel Rd., Suite 101, Greensboro, NC, 27455
Phone (336) 271-2020
Fax (336) 275-8200
Enumeration date Feb 8, 2007
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Primary

Authorized official

Name Timothy Koop
Title President
Phone (336) 271-2020

Other identifiers

Identifier Type State Issuer
89014FR Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-21. Verify at npiregistry.cms.hhs.gov.
Where is Triad Eye Center Od, PA located?
The practice location on file with NPPES is in Greensboro, NC.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.