Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 2174 | NC |
N | 152W00000X | Optometrist | 703 | HI |
NPI | 1003149113 |
---|---|
Provider Name | Dr. Joshua Scott Sikes |
First Address | Chapel Hill, NC 27514-5831 |
Second Address | Chapel Hill, NC 27514-5831 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2009 |
Last Update Date | 10/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5914407 | (05) | NC |