Provider Demographics
NPI:1912493776
Name:EYE POINT OPTOMETRY
Entity Type:Organization
Organization Name:EYE POINT OPTOMETRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:SELLERS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:336-422-7136
Mailing Address - Street 1:1105 N LINDSAY ST
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-3935
Mailing Address - Country:US
Mailing Address - Phone:336-422-7136
Mailing Address - Fax:
Practice Address - Street 1:1105 N LINDSAY ST
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-3935
Practice Address - Country:US
Practice Address - Phone:336-813-6853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-05
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2213152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty