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

Triad Eye Center OD, PA

Organization Optometrist · NPI 1104966845

Triad Eye Center OD, PA is an Optometrist in Greensboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
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

1305 Lees Chapel Rd Ste 101
Greensboro, NC 27455-2599
Phone: (336) 271-2020
Fax: (336) 275-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X (NC)

Record details

NPI number1104966845
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Koop — President · (336) 271-2020
NPI enumeratedFebruary 8, 2007
Last updated in NPPESJuly 21, 2022
Mailing address1305 Lees Chapel Rd., Suite 101, Greensboro, NC 27455-2599

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