Provider Demographics
NPI:1508193525
Name:DR. JOHN K. LINDSAY
Entity Type:Organization
Organization Name:DR. JOHN K. LINDSAY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:KEVIN
Authorized Official - Last Name:LINDSAY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:336-841-3937
Mailing Address - Street 1:801A N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-3921
Mailing Address - Country:US
Mailing Address - Phone:336-841-3937
Mailing Address - Fax:
Practice Address - Street 1:801A N MAIN ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-3921
Practice Address - Country:US
Practice Address - Phone:336-841-3937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-11
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1053152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC05716200011OtherDMERC
NC05716200011OtherDMERC
NCT64928Medicare UPIN