Healthcare Provider Details

I. General information

NPI: 1609005271
Provider Name (Legal Business Name): TRIANGLE OCULAR, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2009
Last Update Date: 07/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 ASHVILLE AVE SUITE #10
CARY NC
27518-6678
US

IV. Provider business mailing address

309 HILLSPRING LN
HOLLY SPRINGS NC
27540-9416
US

V. Phone/Fax

Practice location:
  • Phone: 919-552-5050
  • Fax:
Mailing address:
  • Phone: 919-552-5050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. JEFFREY NEAL KUBLY
Title or Position: PRESIDENT
Credential:
Phone: 919-552-5050