Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

TRIAD SURGICAL ARTS PLLC
NPI 1588590913
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Clemmons, NC

Active since June 23, 2026
6318 JESSIE LN, CLEMMONS, NC 27012(336) 448-3060(336) 565-2400 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Triad Surgical Arts Pllc NPPES

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

TRIAD SURGICAL ARTS PLLC (NPI 1588590913) is a healthcare organization registered as an ophthalmic plastic and reconstructive surgery in Clemmons, North Carolina and active in the NPI registry since June 2026. The organization lists Molly Fuller, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1588590913
Entity TypeOrganization
Primary Taxonomy207WX0200X
Legal Business NameTRIAD SURGICAL ARTS PLLC
Location Address6318 JESSIE LNClemmons, NC 27012-9887
Mailing Address5335 Robinhood Village Dr # 178Winston Salem, NC 27106-9820 · (336) 448-3060 · Fax (336) 565-2400
Fax(336) 565-2400
Organization SubpartNo
Authorized OfficialMolly FullerPhysician/owner · (336) 448-3060
Enumeration DateJune 23, 2026
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
NPI 1588590913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
Definition

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.

Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedPlastic SurgeryTaxonomy 208200000X
6318 JESSIE LN, Clemmons, NC 27012

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Plastic Surgery
6318 JESSIE LN
CLEMMONS, NC 27012
Plastic Surgery
6318 JESSIE LN
CLEMMONS, NC 27012
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
6318 JESSIE LN
CLEMMONS, NC 27012
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
6318 JESSIE LN
CLEMMONS, NC 27012

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.