1. Home
  2. Directory
  3. North Carolina
  4. Winston Salem
  5. Optometrist
  6. NPI Profile

MALLORY L CHAMBLISS ODPA
NPI 1912177676
Optometrist in Winston Salem, NC

Active since March 08, 2008
3320 SILAS CREEK PKWY, SUITE 150, WINSTON SALEM, NC 27103(336) 760-4240(336) 760-4240 Get Directions Write a Review

NPPES record last updated: August 19, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mallory L Chambliss Odpa NPPES

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

MALLORY L CHAMBLISS ODPA (NPI 1912177676) is a healthcare organization registered as an optometrist in Winston Salem, North Carolina and active in the NPI registry since March 2008. The organization lists Mallory L Chambliss, President, as its authorized official.

NPPES Registry Identity

NPI1912177676
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMALLORY L CHAMBLISS ODPA
Location Address3320 SILAS CREEK PKWY, SUITE 150Winston Salem, NC 27103-3031
Mailing AddressPo Box 279Rural Hall, NC 27045-0279 · (336) 760-4240 · Fax (336) 760-4240
Phone(336) 760-4240
Fax(336) 760-4240
Organization SubpartNo
Authorized OfficialMallory L ChamblissPresident · (336) 760-4240
Enumeration DateMarch 8, 2008
Last NPPES UpdateAugust 19, 2009
✔ NPI 1912177676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NC · 0793
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.
3320 SILAS CREEK PKWY, Winston Salem, NC 27103
Open in Google Maps ↗

Other Identifiers 2

Medicaid8909147NC
Other09147NC · Blue Cross Blue Shield

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

Other Providers at the Same Location NPPES 5

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

DR. GARY BRENT COGDILL O.D.
Optometrist
3320 SILAS CREEK PKWY, SUITE 280
WINSTON SALEM, NC 27103
Forsyth County (336) 765-3159
MRS. SONJA ANN OSBORNE OPTICIAN
Technician/Technologist (Optician)
3320 SILAS CREEK PKWY, SUITE 150
WINSTON SALEM, NC 27103
Forsyth County (336) 760-4240
DR. DEVAL I DESAI OD
Optometrist
3320 SILAS CREEK PKWY, 300
WINSTON SALEM, NC 27103
Forsyth County (336) 760-2169
DR. KELLY J ZWIESDAK OD
Optometrist
3320 SILAS CREEK PKWY, SUITE 300
WINSTON SALEM, NC 27103
Forsyth County (336) 760-2169
DR. JESSIE MONDESTIN DMD
Dentist
3320 SILAS CREEK PKWY, SUITE 576
WINSTON SALEM, NC 27103
Forsyth County (336) 768-8228

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 Mallory L Chambliss Odpa's NPI number?

The NPI number for Mallory L Chambliss Odpa is 1912177676. It was assigned to this organization in the NPPES registry on March 8, 2008.

Where is Mallory L Chambliss Odpa located?

Mallory L Chambliss Odpa is located at 3320 Silas Creek Pkwy Suite 150, Winston Salem, NC 27103. The listed phone number is (336) 760-4240.

What is Mallory L Chambliss Odpa's specialty?

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

When was this NPI record last updated?

The NPPES record for Mallory L Chambliss Odpa was last updated on August 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.