Healthcare Provider Details

I. General information

NPI: 1154585628
Provider Name (Legal Business Name): PAULA AMY LUKE O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2008
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 UNIVERSITY PKWY
HIGH POINT NC
27268-0002
US

IV. Provider business mailing address

1 UNIVERSITY PKWY
HIGH POINT NC
27268-4260
US

V. Phone/Fax

Practice location:
  • Phone: 800-345-6993
  • Fax:
Mailing address:
  • Phone: 800-345-6993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number1870
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3274ATI
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: