Provider Demographics
NPI:1881646511
Name:TRIANGLE EYE INSTITUTE OD, PA
Entity type:Organization
Organization Name:TRIANGLE EYE INSTITUTE OD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OSAMA
Authorized Official - Middle Name:HAMDI
Authorized Official - Last Name:SAID
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:919-881-0900
Mailing Address - Street 1:3214 CHARLES B ROOT WYND
Mailing Address - Street 2:STE 120
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-5440
Mailing Address - Country:US
Mailing Address - Phone:919-881-0900
Mailing Address - Fax:919-881-0911
Practice Address - Street 1:3214 CHARLES B ROOT WYND
Practice Address - Street 2:STE 120
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-5440
Practice Address - Country:US
Practice Address - Phone:919-881-0900
Practice Address - Fax:919-881-0911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1776152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC018EXOtherBCBS
NC8802086Medicaid
NC2332789Medicare PIN
NC018EXOtherBCBS