Provider Demographics
NPI:1710243761
Name:TRIAD OPHTHALMOLOGY CONSULTANTS, PLLC
Entity Type:Organization
Organization Name:TRIAD OPHTHALMOLOGY CONSULTANTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GREER
Authorized Official - Middle Name:LAUREN
Authorized Official - Last Name:GEIGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:336-662-2063
Mailing Address - Street 1:PO BOX 724
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:NC
Mailing Address - Zip Code:27310-0724
Mailing Address - Country:US
Mailing Address - Phone:336-662-2063
Mailing Address - Fax:
Practice Address - Street 1:807 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-7833
Practice Address - Country:US
Practice Address - Phone:336-272-5628
Practice Address - Fax:336-273-1671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-04
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1228895207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty