SAMUEL LESTER TYSON (NPI# 1750327870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750327870 |
| Entity Type | Individual |
| Full Name | SAMUEL LESTER TYSON |
| Credential | MD |
| Practice Address |
3810 N Elm St 209 Greensboro NC 27455 |
| Practice Telephone | 3362823940 |
| Practice Fax Number | 3362828404 |
| Mailing Telephone | 3362823940 |
| Mailing Fax Number | 3362828404 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 38229 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890257X | 05 |
| Street Address |
3810 N ELM ST 209 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265740203 | Eye Consultants of Greensboro, P.a. | Ophthalmology | 3810 N Elm St, Suite 209, Greensboro, NC 27455-2727 | 2010-09-23 |
| 1760545792 | Piedmont Eye Center, P.a. | Ophthalmology | 3810 N Elm St, Suite 209, Greensboro, NC 27455-2727 | 2006-12-19 |
| 1295805901 | Eric Jay Mccollum | Dentist | 3810 N Elm St, Suite 201, Greensboro, NC 27455-2727 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144677220 | Melanie Mitchell | Nurse Practitioner | 3909 N. Elm St, Suite 102, Greensboro, NC 27455 | 2016-05-19 |
| 1871723486 | Life Changes Family Services | Community/Behavioral Health | West Friendly Ave, 5415 Suite A, Greensboro, NC 27455 | 2009-07-16 |
| 1497996805 | Mark Ellis Hepler | Physician Assistant | 3625 N Elm St Ste 110a, Greensboro, NC 27455 | 2009-03-13 |
| 1629217096 | Shemena Monique Wiggins | Physical Therapist | 3823 Lawndale Dr., Loyalton of Greensboro, Greensboro, NC 27455 | 2009-02-09 |
| 1154588036 | Coley Cosmetic & Hand Surgery Center, Pa | Clinic/Center | 3820 N Elm Street, Suite 104, Greensboro, NC 27455 | 2008-05-19 |
| 1447428693 | Regina G Kujawa | Social Worker | 1904 Kello Dr, Greensboro, NC 27455 | 2008-02-11 |
| 1942322805 | Benjamin Dale Weston | Dentist | 6161-a Lake Brandt Rd, Greensboro, NC 27455 | 2007-04-04 |
| 1992857007 | Five Star Quality Care - Obx Operator, LLC | Assisted Living Facility | 3896 North Elm Street, Greensboro, NC 27455 | 2007-01-17 |
| 1043312077 | Harris Teeter, LLC | Durable Medical Equipment & Medical Supplies | 401 Pisgah Church Rd., Greensboro, NC 27455 | 2006-09-01 |
| 1740296557 | Melanie Mcneely Boatwright | Nurse Practitioner | 3803 N. Elm St., Greensboro, NC 27455 | 2006-08-01 |
| Find all providers in zip 27455 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323951 | Carolina Children's Eye Care, Pa | Ophthalmology | Friendly-holden Building, 3608 W Friendly Ave, Suite 101, Greensboro, NC 27410 | 2018-07-26 |
| 1497011274 | Richard Scott Groat | Ophthalmology | 1317 N Elm St Ste 4, Greensboro, NC 27401-1023 | 2012-04-06 |
| 1225304553 | Brian Gruezo Zamora | Ophthalmology | 1313 Carolina St Ste 103, Greensboro, NC 27401 | 2012-03-30 |
| 1548559404 | Nathan Ronald Haines | Ophthalmology | 1132 N Church St Ste 103, Greensboro, NC 27401-1040 | 2011-03-31 |
| 1821239971 | Pediatric Ophthalmology Associates, P.a. | Ophthalmology | 2519 Oakcrest Ave, Greensboro, NC 27408-4707 | 2009-03-19 |
| 1508062399 | Graham Warner Lyles | Ophthalmology | 8 North Pointe Court, Greensboro, NC 27408-3187 | 2007-06-27 |
| 1427172246 | Karl Gene Stonecipher | Ophthalmology | 1002 N Church St Ste 103, Greensboro, NC 27401-1447 | 2007-03-19 |
| 1447319454 | Hecker Ophthalmology Pa | Ophthalmology | 1507 Westover Ter Ste C, Greensboro, NC 27408-7121 | 2006-12-06 |
| 1225139249 | Wake Forest University Health Sciences | Ophthalmology | 1014 N Elm St, Greensboro, NC 27401-1424 | 2006-09-25 |
| 1932128055 | Sigmund Stanley Gould | Ophthalmology | 405 Parkway, Ste B, Greensboro, NC 27401 | 2006-07-19 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27455 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.