TRIAD SURGICAL ARTS PLLC
NPI 1588590913
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Clemmons, NC
NPI Status: Active since June 23, 2026
Contact Information
6318 JESSIE LN
CLEMMONS, NC
ZIP 27012
Phone: (336) 448-3060
Fax: (336) 565-2400
This NPI profile has been added to the NPI registry within the last 30 days.
- Organization
- Ophthalmology
- Ophthalmic Plastic and Reconstructive Su...
About TRIAD SURGICAL ARTS PLLC
This page provides the complete NPI Profile along with additional information for Triad Surgical Arts Pllc, a provider established in Clemmons, North Carolina operating as a Ophthalmology, focusing in ophthalmic plastic and reconstructive surgery . The healthcare provider is registered in the NPI registry with number 1588590913 assigned on June 2026. The practitioner's primary taxonomy code is 207WX0200X. The provider is registered as an organization and their NPI record was last updated June 2026. Triad Surgical Arts Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Molly Fuller Md, Phd (Physician/owner)
- NPI
- 1588590913
- Provider Name
- TRIAD SURGICAL ARTS PLLC
- Entity Type
- Organization
- Location Address
- 6318 JESSIE LN CLEMMONS, NC 27012
- Location Phone
- (336) 448-3060
- Location Fax
- (336) 565-2400
- Mailing Address
- 5335 ROBINHOOD VILLAGE DR # 178 WINSTON SALEM, NC 27106
- Mailing Phone
- (336) 448-3060
- Mailing Fax
- (336) 565-2400
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-23-2026
- Last Update Date
- 06-23-2026
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology Ophthalmic Plastic and Reconstructive Surgery
- Taxonomy Code
- 207WX0200X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | |
| 2 | 207YX0007X | Allopathic & Osteopathic Physicians | Otolaryngology | |
| 3 | 208200000X | Allopathic & Osteopathic Physicians | Plastic Surgery |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1588590913, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1588590913, enumerated as an "organization" on June 23, 2026.
The provider is located at 6318 JESSIE LN CLEMMONS, NC 27012 and the phone number is (336) 448-3060.
Ophthalmology with taxonomy code 207WX0200X and a focus in Ophthalmic Plastic and Reconstructive Surgery.
