Provider Demographics
NPI:1477424059
Name:EASTPOINT PROSTHETICS & ORTHOTICS, INC.
Entity type:Organization
Organization Name:EASTPOINT PROSTHETICS & ORTHOTICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NELDA
Authorized Official - Middle Name:
Authorized Official - Last Name:EZZELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-522-3278
Mailing Address - Street 1:310 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28504-8208
Mailing Address - Country:US
Mailing Address - Phone:252-522-3278
Mailing Address - Fax:252-522-3280
Practice Address - Street 1:3806 PEACHTREE AVE STE 110
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-6752
Practice Address - Country:US
Practice Address - Phone:910-228-5757
Practice Address - Fax:910-228-5758
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EASTPOINT PROSTHETICS & ORTHOTICS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No335E00000XSuppliersProsthetic/Orthotic Supplier