TRIAD EYE ASSOCIATES OF KING PLLC
NPI 1477366870
Optometrist in King, NC

Q: What is Triad Eye Associates Of King PLLC's NPI number?

The NPI number for Triad Eye Associates Of King PLLC is 1477366870. It was assigned to this organization in the NPPES registry on January 29, 2025.

Q: What is Triad Eye Associates Of King PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since January 29, 2025

306 KIRBY RD, KING, NC 27021(336) 983-4313 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Triad Eye Associates Of King Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRIAD EYE ASSOCIATES OF KING PLLC (NPI 1477366870) is a healthcare organization registered as an optometrist in King, North Carolina and active in the NPI registry since January 2025. The organization lists Lisa D Moody, Director Of Insurance, as its authorized official.

NPPES Registry Identity

NPI1477366870

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameTRIAD EYE ASSOCIATES OF KING PLLC

Location Address306 KIRBY RDKing, NC 27021-9493

Mailing AddressPo Box 4370Archdale, NC 27263-4370 · (336) 687-7730 · Fax (336) 434-6680

Phone(336) 983-4313

Organization SubpartNo

Authorized OfficialLisa D MoodyDirector Of Insurance · (336) 687-7730

Enumeration DateJanuary 29, 2025

NPPES CertifiedJanuary 29, 2025

✔ NPI 1477366870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

306 KIRBY RD, King, NC 27021

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Triad Eye Associates Of King Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Triad Eye Associates Of King PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Jacob Blackman, OD

Optometry

NPI 1558111575

306 KIRBY RD
King, NC 27021

(336) 983-4313

✔ PECOS✔ Accepts MedicareSame address

Van Teague, OD

Optometry

NPI 1336182823

800 S STRATFORD RD
Winston Salem, NC 27103

(336) 765-5788

✔ PECOS✔ Accepts Medicare14 mi

William Hutto, OD

Optometry

NPI 1821191669

6425 OLD PLANK RD SUITE 105
High Point, NC 27265

(336) 886-7500

✔ PECOS✔ Accepts Medicare25 mi

Lauren Cadwell

Optometry

NPI 1316781552

6425 OLD PLANK RD STE 105
High Point, NC 27265

(336) 886-7500

✔ PECOS✔ Accepts Medicare25 mi

Mitchell Evans, OD

Optometry

NPI 1053147769

10564 N MAIN ST STE E
Archdale, NC 27263

(336) 434-4033

✔ PECOS✔ Accepts Medicare33 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Triad Eye Associates Of King PLLC's NPI number?

The NPI number for Triad Eye Associates Of King PLLC is 1477366870. It was assigned to this organization in the NPPES registry on January 29, 2025.

Where is Triad Eye Associates Of King PLLC located?

Triad Eye Associates Of King PLLC is located at 306 Kirby Rd, King, NC 27021. The listed phone number is (336) 983-4313.

What is Triad Eye Associates Of King PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Triad Eye Associates Of King PLLC enrolled in Medicare?

Yes. Triad Eye Associates Of King PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Triad Eye Associates Of King PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Triad Eye Associates Of King PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Triad Eye Associates Of King PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Triad Eye Associates Of King PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Triad Eye Associates Of King PLLC was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.