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WAKE FOREST UNIVERSITY HEALTH SCIENCES
NPI 1811018831
Clinic/Center in Winston Salem, NC

Active since April 03, 2007
631 COLISEUM DR, WINSTON SALEM, NC 27106(336) 723-1041 Get Directions Write a Review

NPPES record last updated: March 5, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wake Forest University Health Sciences NPPES

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

WAKE FOREST UNIVERSITY HEALTH SCIENCES (NPI 1811018831), doing business as Coliseum Eye Associates, is a healthcare organization registered as a clinic/center in Winston Salem, North Carolina and active in the NPI registry since April 2007. The organization lists William Applegate, Interim Pres, Wfu Health Sciences, as its authorized official.

NPPES Registry Identity

NPI1811018831
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWAKE FOREST UNIVERSITY HEALTH SCIENCES
Location Address631 COLISEUM DRWinston Salem, NC 27106-5310
Mailing Address631 Coliseum DrWinston Salem, NC 27106-5310 · (336) 723-1041
Phone(336) 723-1041
Organization SubpartYes
Authorized OfficialWilliam ApplegateInterim Pres, Wfu Health Sciences · (336) 716-4424
Enumeration DateApril 3, 2007
Last NPPES UpdateMarch 5, 2008
✔ NPI 1811018831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
631 COLISEUM DR, Winston Salem, NC 27106
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Other Names 1

Former Legal Business NameColiseum Eye Associates

Other Identifiers 3

Medicare NSC4638040002NC
Medicare PIN2326115BNC
Medicaid5902646NC

Other Providers at the Same Location NPPES 3

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

RONALD GRAY TUTTLE OPTICIAN
Technician/Technologist (Optician)
631 COLISEUM DR
WINSTON SALEM, NC 27106
Forsyth County (336) 723-1041
LOUIS F HEEDEN OD
Optometrist
631 COLISEUM DR
WINSTON-SALEM, NC 27106
Forsyth County (336) 723-1041
JUDITH V RIDGE OPTICIAN
Technician/Technologist (Optician)
631 COLISEUM DR
WINSTON-SALEM, NC 27106
Forsyth County (336) 716-2255

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 Wake Forest University Health Sciences's NPI number?

The NPI number for Wake Forest University Health Sciences is 1811018831. It was assigned to this organization in the NPPES registry on April 3, 2007. The provider was formerly known as Coliseum Eye Associates.

Where is Wake Forest University Health Sciences located?

Wake Forest University Health Sciences is located at 631 Coliseum Dr, Winston Salem, NC 27106. The listed phone number is (336) 723-1041.

What is Wake Forest University Health Sciences's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Wake Forest University Health Sciences was last updated on March 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.