OrganizationActive
Triad Ocular and Facial Plastic Surgery PLLC
NPI 1245737568 · Ophthalmic Plastic and Reconstructive Surgery Physician · Bermuda Run, NC
Provider details
- NPI number
- 1245737568
- Entity type
- Organization
- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Molly Fuller, Owner(336) 448-3060
- License
- 2015-01115 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician2082S0099XLicense 2015-01115 (NC)
Allopathic & Osteopathic Physicians
Practice location
122 E Kinderton Way # B
Bermuda Run, NC 27006-7303
Phone: (336) 448-3060
Fax: (336) 998-3333
Approximate (ZIP-level) locationGet directions
Mailing address
5335 Robinhood Village Dr # 178
Winston Salem, NC 27106-9820
Additional practice locations (2)
- 2 Hospital DrLexington, NC 27292-6781Phone: (336) 448-3060Fax: (336) 998-3333
- 225 East Lee AvenueYadkinville, NC 27055-7807Phone: (336) 448-3060Fax: (336) 998-3333
Registry dates
- Enumerated
- 2018-04-12
- Last updated
- 2019-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.