Healthcare Provider Details

I. General information

NPI: 1871173096
Provider Name (Legal Business Name): JEFFREY R SIMS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2021
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2351 ERWIN RD
DURHAM NC
27705-4699
US

IV. Provider business mailing address

210 E 64TH ST
NEW YORK NY
10065-7471
US

V. Phone/Fax

Practice location:
  • Phone: 919-681-3937
  • Fax:
Mailing address:
  • Phone: 212-838-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0009X
TaxonomyGlaucoma Specialist (Ophthalmology) Physician
License Number2025-01650
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: