Healthcare Provider Details

I. General information

NPI: 1477424059
Provider Name (Legal Business Name): EASTPOINT PROSTHETICS & ORTHOTICS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3806 PEACHTREE AVE STE 110
WILMINGTON NC
28403-6752
US

IV. Provider business mailing address

310 AIRPORT RD
KINSTON NC
28504-8208
US

V. Phone/Fax

Practice location:
  • Phone: 910-228-5757
  • Fax: 910-228-5758
Mailing address:
  • Phone: 252-522-3278
  • Fax: 252-522-3280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: NELDA EZZELL
Title or Position: INSURANCE MANAGER
Credential:
Phone: 252-522-3278