Provider Demographics
NPI:1790291219
Name:CHAPEL HILL EYECARE, OD PLLC
Entity Type:Organization
Organization Name:CHAPEL HILL EYECARE, OD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SIKES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:910-547-4020
Mailing Address - Street 1:235 S ELLIOTT RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-5831
Mailing Address - Country:US
Mailing Address - Phone:919-968-4774
Mailing Address - Fax:919-942-5291
Practice Address - Street 1:235 S ELLIOTT RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5831
Practice Address - Country:US
Practice Address - Phone:919-968-4774
Practice Address - Fax:919-942-5291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-20
Last Update Date:2017-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2174261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty