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NPI Code Detail

MEDICARE: NORTHPOINT EYE STUDIO OD PA

MEDICARE: NORTHPOINT EYE STUDIO OD PA
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
1152W00000XOptometrist1885NC

General Provider Information

NPI Number : 1588728166
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHPOINT EYE STUDIO OD PA
Provider Business Mailing Address
First Line : 10030 EDISON SQUARE DR NW
Second Line : STE 201
City : CONCORD
State : NC
Zip : 28027-8308
Country : US
Telephone Number : 704-766-1130
Fax Number : 704-766-1131
Provider Business Practice Location Address
First Line : 10030 EDISON SQUARE DR NW
Second Line : STE 201
City : CONCORD
State : NC
Zip : 28027-8308
Country : US
Telephone Number : 704-766-1130
Fax Number : 704-766-1131
Authorized Official
Title or Position : OPTOMETRIST
Name : DR. JOYCE ADELEKE
Credential : O.D,
Telephone Number : 704-766-1130
Provider Enumeration Date : 12/20/2006
Last Update Date : 02/27/2015

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Directions to “NORTHPOINT EYE STUDIO OD PA ” Practice Location

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