TRIAD CORNEA COMMUNITY NPI 1154951721

Eye Bank in Winston Salem, NC

Organization Eye Bank

About TRIAD CORNEA COMMUNITY

Triad Cornea Community is a provider established in Winston Salem, North Carolina specializing in eye bank. The NPI number of Triad Cornea Community is 1154951721 and was assigned on January 2020. The practitioner's primary taxonomy code is 332G00000X. The provider is registered as an organization and their NPI record was last updated January 2020. The authorized official of this NPI record is Dean Vavra (Ceo)

NPI

1154951721

Provider NameTRIAD CORNEA COMMUNITY
Provider Location Address3900 WESTPOINT BLVD STE F WINSTON SALEM, NC 27103
Provider Mailing Address3900 WESTPOINT BLVD STE F WINSTON SALEM, NC 27103
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-22-2020
Last Update Date01-22-2020

Primary Taxonomy

Taxonomy Code332G00000X
ClassificationEye Bank
TypeSuppliers
Taxonomy DescriptionAn eye bank procures and distributes eyes for transplant, education and research. To promote patient safety, donated eyes and donor medial histories are evaluated based on strict Eye Bank Association of America Medical Standards

Business Address

TRIAD CORNEA COMMUNITY
3900 WESTPOINT BLVD STE F
WINSTON SALEM, NC
ZIP 27103
Phone: (847) 910-2473

Get Directions

Mailing Address

TRIAD CORNEA COMMUNITY
3900 WESTPOINT BLVD STE F
WINSTON SALEM, NC
ZIP 27103
Phone: (847) 910-2473

Authorized Official

Authorized Official Name DEAN VAVRA
Authorized Official TitleCEO
Authorized Official Phone(800) 908-5098

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.