Duke Eye Winston Salem

LBN: Private Diagnostic Clinic, Pllc
Duke Eye Winston Salem is an health care organization with primary practice located at 2025 Frontis Plaza Blvd Suite 100, Winston Salem NC 27103-5663. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Private Diagnostic Clinic, Pllc can be contacted via phone (336) 768-3240, or through Frederick, Christopher Thomas via phone (919) 613-7762.

Contact Information

Primary practice address
2025 Frontis Plaza Blvd Suite 100 Winston Salem NC 27103-5663
Phone: (336) 768-3240
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Frederick, Christopher Thomas
Phone: (919) 613-7762

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X

Profile Details

NPI number 1992802128
LBN Legal business name Private Diagnostic Clinic, Pllc
DBA Doing business as Duke Eye Winston Salem
Authorized official Frederick, Christopher Thomas
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 11th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992802128 NPPES
North Carolina MEDICAID 8902034

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