Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Piedmont Retina Specialists, PA

Organization Ophthalmology Physician · NPI 1477788297

Piedmont Retina Specialists, PA is an Ophthalmology Physician in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1132 N Church St Ste 103
Greensboro, NC 27401-1040
Phone: (336) 369-7100
Fax: (336) 369-7101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 9801464 (NC)
Ophthalmology Physician Taxonomy 207W00000X · Licence 2005-00329 (NC)
Medical Specialty Clinic/Center Taxonomy 261QM2500X · Licence 2005-00329 (NC)

Record details

NPI number1477788297
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jason Sanders — Provider/Physician · (336) 369-7100
NPI enumeratedMay 22, 2009
Last updated in NPPESJune 10, 2014
Mailing address1132 North Church Street, Suite 103, Greensboro, NC 27401-1040

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