FAMILY VISION CLINIC
NPI 1043661671
Optometrist - Corneal and Contact Management in Wilmington, NC

Active since June 24, 2016
4514 OLEANDER DR, WILMINGTON, NC 28403(910) 392-4414(910) 392-3153 Get Directions Write a Review

NPPES record last updated: June 24, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Family Vision Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY VISION CLINIC (NPI 1043661671) is a healthcare organization registered as a corneal and contact management in Wilmington, North Carolina and active in the NPI registry since June 2016. The organization lists Caroline T Peterson, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1043661671
Entity TypeOrganization
Primary Taxonomy152WC0802X
Legal Business NamePETERSON OPTOMETRIC GROUP, PLLC
Location Address4514 OLEANDER DRWilmington, NC 28403-5012
Mailing Address4514 Oleander DrWilmington, NC 28403-5012 · (910) 392-4414 · Fax (910) 392-3153
Fax(910) 392-3153
Organization SubpartNo
Authorized OfficialCaroline T PetersonOptometrist · (910) 392-4414
Enumeration DateJune 24, 2016
✔ NPI 1043661671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometrist · Corneal and Contact ManagementEye and Vision Services Providers
Taxonomy Code152WC0802X
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
4514 OLEANDER DR, Wilmington, NC 28403

Other Names 1

Doing Business AsFamily Vision Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Vision Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Family Vision Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1134520687
344 S COLLEGE RD
Wilmington, NC 28403
(630) 267-3491
✔ PECOS✔ Accepts Medicare1.9 mi
Optometry
NPI 1902357791
1945 W PALMETTO ST SUITE 111
Florence, SC 29501
(843) 679-1812
✔ PECOS✔ Accepts Medicare110 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peterson Optometric Group, PLLC's NPI number?

The NPI number for Peterson Optometric Group, PLLC is 1043661671. It was assigned to this organization in the NPPES registry on June 24, 2016. The provider is doing business as Family Vision Clinic.

Where is Peterson Optometric Group, PLLC located?

Peterson Optometric Group, PLLC is located at 4514 Oleander Dr, Wilmington, NC 28403. The listed phone number is (910) 392-4414.

What is Peterson Optometric Group, PLLC's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Corneal and Contact Management, with taxonomy code 152WC0802X.

Is Peterson Optometric Group, PLLC enrolled in Medicare?

Yes. Peterson Optometric Group, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peterson Optometric Group, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Peterson Optometric Group, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Peterson Optometric Group, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Peterson Optometric Group, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peterson Optometric Group, PLLC was last updated on June 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.