Northgate Eye Center O D P a

NPI #1699936906 in Fort Bragg, North Carolina

Provider Information

NPI Number: 1699936906
Entity Type: Organization
Organization Name: Northgate Eye Center O D P a
Primary Specialty: Optometrist
Enumeration Date: Jun 19, 2008
Last Updated: Sep 26, 2018

Practice Location

Address: 1 FORT BRAGG
City: Fort Bragg
State: North Carolina
ZIP Code: 28307-5000
Phone: (910) 497-0082

Authorized Official

Name: DR. LISA ANN PARKE, O.D.
Title: PRESIDENT
Phone: (910) 497-0082

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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