Healthcare Provider Details

I. General information

NPI: 1013223247
Provider Name (Legal Business Name): TEMAS-RINI EYE ASSOCIATES, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2010
Last Update Date: 08/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 HIGHLAND OAKS DR SUITE 101
WINSTON SALEM NC
27103-7109
US

IV. Provider business mailing address

1959 PEACE HAVEN RD #348
WINSTON SALEM NC
27106-4850
US

V. Phone/Fax

Practice location:
  • Phone: 336-659-8180
  • Fax: 336-659-8363
Mailing address:
  • Phone: 336-768-5699
  • Fax: 336-768-9905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number33905
License Number StateNC

VIII. Authorized Official

Name: DR. GREGORY P TEMAS
Title or Position: PARTNER
Credential: M.D.
Phone: 336-659-8180