Provider Demographics
NPI:1588728166
Name:NORTHPOINT EYE STUDIO OD PA
Entity type:Organization
Organization Name:NORTHPOINT EYE STUDIO OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADELEKE
Authorized Official - Suffix:
Authorized Official - Credentials:OD,
Authorized Official - Phone:704-766-1130
Mailing Address - Street 1:10030 EDISON SQUARE DR NW
Mailing Address - Street 2:STE 201
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-8308
Mailing Address - Country:US
Mailing Address - Phone:704-766-1130
Mailing Address - Fax:704-766-1131
Practice Address - Street 1:10030 EDISON SQUARE DR NW
Practice Address - Street 2:STE 201
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-8308
Practice Address - Country:US
Practice Address - Phone:704-766-1130
Practice Address - Fax:704-766-1131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1885152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC=========Medicaid