Piedmont Retina Specialists, P.A.

LBN: Piedmont Retina Specialists, P.A.
Piedmont Retina Specialists, P.A. is an health care organization with primary practice located at 1132 North Church Street Suite 103, Greensboro NC 27401-1040. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Ambulatory Health Care Facilities / Medical Specialty. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Piedmont Retina Specialists, P.A. can be contacted via phone (336) 369-7100, or through Sanders, Jason Browning via phone (336) 369-7100.

Contact Information

Primary practice address
1132 North Church Street Suite 103 Greensboro NC 27401-1040
Fax: (336) 369-7101
Website:
Authorized official contact:
Name: Sanders, Jason Browning Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 2005-00329 North Carolina
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 9801464 North Carolina
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 2005-00329 North Carolina

Profile Details

NPI number 1477788297
LBN Legal business name Piedmont Retina Specialists, P.A.
DBA Doing business as
Authorized official Sanders, Jason Browning Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2009
Last updated Jun 10th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477788297 NPPES
North Carolina MEDICAID 5913879

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