Provider Demographics
NPI:1700892031
Name:ADELEKE, JOYCE (OD)
Entity Type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:
Last Name:ADELEKE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10030 EDISON SQUARE DR NW
Mailing Address - Street 2:SUITE 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:704-766-1130
Practice Address - Street 1:10030 EDISON SQUARE DR NW
Practice Address - Street 2:SUITE 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:704-766-1130
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1885152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist