Provider Demographics
NPI:1609005271
Name:TRIANGLE OCULAR, INC.
Entity Type:Organization
Organization Name:TRIANGLE OCULAR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:NEAL
Authorized Official - Last Name:KUBLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-552-5050
Mailing Address - Street 1:309 HILLSPRING LN
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-9416
Mailing Address - Country:US
Mailing Address - Phone:919-552-5050
Mailing Address - Fax:
Practice Address - Street 1:208 ASHVILLE AVE
Practice Address - Street 2:SUITE #10
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-6678
Practice Address - Country:US
Practice Address - Phone:919-552-5050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-04
Last Update Date:2009-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier