Organization
NORTHGATE EYE CENTER O D P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ANN PARKE O.D. (PRESIDENT)
(910) 497-0082
Entity
Organization
Contact information
Practice address
1 FORT BRAGG, FORT BRAGG, NC 28307-5000
(910) 497-0082
(910) 497-5602
Mailing address
1 FORT BRAGG, FORT BRAGG, NC 28307-5000
(910) 497-0082
(910) 497-5602
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1871
NC
Other
Enumeration date
06/19/2008
Last updated
09/26/2018
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