SAMUEL LESTER TYSON


Address: 3810 N Elm St, 209, Greensboro, NC 27455
Phone: 3362823940

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 38229 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC 890257X 05

Office Location

Street Address 3810 N ELM ST
209
City GREENSBORO
State NC
Zip Code 27455

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City GREENSBORO
Zip Code 27455

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Dataset Information

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.

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