| Triad Eye Associates Od Pa | |
|
10564 N Main St, Suite E, Archdale, NC 27263-2808 | |
| (336) 434-4033 | |
| (336) 434-6680 |
| Full Name | Triad Eye Associates Od Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 10564 N Main St, Archdale, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649228669 | NPI | - | NPPES |
| 0274P | Other | NC | BCBS/NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Ryan E Snipes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992867402 PECOS PAC ID: 7618954645 Enrollment ID: I20040707000581 |
| Provider Name | Charles R Gilliam |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720083199 PECOS PAC ID: 8325000417 Enrollment ID: I20041222000727 |
| Provider Name | Cathy A Fulp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902803323 PECOS PAC ID: 2769440502 Enrollment ID: I20041228000267 |
| Provider Name | Stacey S Hutto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447234711 PECOS PAC ID: 4486667870 Enrollment ID: I20060802000150 |
| Provider Name | William N Hutto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821191669 PECOS PAC ID: 4082716709 Enrollment ID: I20070227000733 |
| Provider Name | Kimberly G Orr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043611734 PECOS PAC ID: 5395069272 Enrollment ID: I20150123002262 |
| Provider Name | Mitchell N Evans |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053147769 PECOS PAC ID: 2466984349 Enrollment ID: I20241016003375 |
| Provider Name | Lauren Cadwell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316781552 PECOS PAC ID: 9335664465 Enrollment ID: I20250421003047 |
| Mailing Address | Practice Location Address |
|---|---|
| Triad Eye Associates Od Pa Po Box 4370, Archdale, NC 27263-4370 Ph: (336) 434-4033 | Triad Eye Associates Od Pa 10564 N Main St, Suite E, Archdale, NC 27263-2808 Ph: (336) 434-4033 |
Mitchell N Evans, OD Optometrist Medicare: Medicare Enrolled Practice Location: 10564 N Main St Ste E, Archdale, NC 27263 Phone: 336-434-4033 Fax: 336-434-4035 | |
Cathy A Fulp, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10564 N Main St, Ste E, Archdale, NC 27263 Phone: 336-434-4033 Fax: 336-434-4035 |