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

Triad Ocular and Facial Plastic Surgery PLLC

Organization Ophthalmic Plastic and Reconstructive Surgery Physician · NPI 1245737568

Triad Ocular and Facial Plastic Surgery PLLC is an Ophthalmic Plastic and Reconstructive Surgery Physician in Clemmons, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.

Licensed in
NC
In the registry since
2018
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

6318 Jessie Ln
Clemmons, NC 27012-9887
Phone: (336) 448-3060
Fax: (336) 565-2400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmic Plastic and Reconstructive Surgery Physician (primary) Taxonomy 207WX0200X · Licence 2015-01115 (NC)
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician Taxonomy 2082S0099X · Licence 2015-01115 (NC)

Record details

NPI number1245737568
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Molly Fuller — Owner · (336) 448-3060
NPI enumeratedApril 12, 2018
Last updated in NPPESJuly 2, 2026
Certification dateJuly 2, 2026
Mailing address5335 Robinhood Village Dr # 178, Winston Salem, NC 27106-9820