NPI 1003114992

Wake Forest Health Network, LLC

Organisation Ophthalmology Physician Greensboro, NC

Practice location

Address: 1311 N Elm St STE a, Greensboro, NC 27401-6306
Phone: (336) 378-9993
Fax: (336) 274-5884
Mailing address: 100 Kimel Forest Dr, Winston Salem, NC 27103-6074

Authorised official

Name: Russell Mars Howerton
Title: Sr Vp Network Phys & Hs Cmo
Phone: (336) 716-1331

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X

Other Ophthalmology providers in North Carolina →

Registry record

NPI: 1003114992
Entity type: Organization
NPI issued: 2 Mar 2011
Record last updated: 5 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.