MEDICARE: MICHAEL W LOOKER II

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	222Z00000X	Orthotist	CPO05913	NC
2	224P00000X	Prosthetist	CPO05913	NC

General Provider Information

NPI Number	:	1548193527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL W LOOKER II

Provider Business Mailing Address
First Line	:	325 MANGROVE CT
Second Line	:
City	:	AYDEN
State	:	NC
Zip	:	28513-5405
Country	:	US
Telephone Number	:	252-378-9770
Fax Number	:	252-378-9880

Provider Business Practice Location Address
First Line	:	1970 W ARLINGTON BLVD
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-5783
Country	:	US
Telephone Number	:	252-378-9770
Fax Number	:	252-378-9880

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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