Provider Demographics
NPI:1528316239
Name:EASTPOINT PROSTHETICS & ORTHOTICS, INC.
Entity type:Organization
Organization Name:EASTPOINT PROSTHETICS & ORTHOTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MITCHEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:SUGG
Authorized Official - Suffix:
Authorized Official - Credentials:CPO, CPED, FAAOP
Authorized Official - Phone:252-522-3278
Mailing Address - Street 1:8300 HEALTH PARK STE 131
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-4731
Mailing Address - Country:US
Mailing Address - Phone:919-844-7897
Mailing Address - Fax:919-844-7868
Practice Address - Street 1:8300 HEALTH PARK STE 131
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615
Practice Address - Country:US
Practice Address - Phone:919-844-7897
Practice Address - Fax:919-844-7898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 335E00000X
NC332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier