Provider Demographics
NPI:1043269665
Name:GINSBURG, ALAN LEYTON (OD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:LEYTON
Last Name:GINSBURG
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 WESTMINSTER DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7359
Mailing Address - Country:US
Mailing Address - Phone:336-886-5620
Mailing Address - Fax:336-889-6823
Practice Address - Street 1:140 CHURCH AVE
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-4931
Practice Address - Country:US
Practice Address - Phone:336-889-6566
Practice Address - Fax:336-889-6823
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC923152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890929UMedicaid
NC890929UMedicaid
246438Medicare PIN