Provider Demographics
NPI:1386732717
Name:ANDERSON-LUKE, PAMELA (OD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:
Last Name:ANDERSON-LUKE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:PAMELA
Other - Middle Name:ANDERSON
Other - Last Name:LEDFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:540 W US HIGHWAY 64
Mailing Address - Street 2:PO BOX 595
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-3179
Mailing Address - Country:US
Mailing Address - Phone:828-837-1134
Mailing Address - Fax:828-835-8878
Practice Address - Street 1:540 W US HIGHWAY 64
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-3179
Practice Address - Country:US
Practice Address - Phone:828-837-1134
Practice Address - Fax:828-835-8878
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1604152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89093FEMedicaid
NC2471779AMedicare PIN
NCU61502Medicare UPIN
NC89093FEMedicaid