ROCKY MOUNT EYE PA
NPI 1043691595
Ophthalmology in Rocky Mount, NC
About Rocky Mount Eye Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ROCKY MOUNT EYE PA (NPI 1043691595) is a healthcare organization registered as an ophthalmology in Rocky Mount, North Carolina and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through February 16, 2028 and lists Thomas J Robertson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Rocky Mount Eye Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Rocky Mount Eye PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 34D2109000
Rocky Mount Eye PA · Rocky Mount, NCFrequently 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 Rocky Mount Eye PA's NPI number?
The NPI number for Rocky Mount Eye PA is 1043691595. It was assigned to this organization in the NPPES registry on June 10, 2015.
Where is Rocky Mount Eye PA located?
Rocky Mount Eye PA is located at 450 Jones Rd, Rocky Mount, NC 27804. The listed phone number is (252) 443-1006.
What is Rocky Mount Eye PA's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Rocky Mount Eye PA enrolled in Medicare?
Yes. Rocky Mount Eye PA is registered in the Medicare PECOS enrollment system.
When is Rocky Mount Eye PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (North Carolina, Physician - Ophthalmology) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Rocky Mount Eye PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Rocky Mount Eye PA. 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. The largest specialties are Ophthalmology (5) and Optometry (4). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Rocky Mount Eye PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2109000) is associated with this NPI, valid through February 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Rocky Mount Eye PA accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Rocky Mount Eye PA 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 Rocky Mount Eye PA was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Rocky Mount Eye Pa · NPI 1043691595
Ophthalmology organization in Rocky Mount, North Carolina. Organization record, active in the CMS NPPES registry since June 10, 2015.
## Identity
- **NPI:** 1043691595 (Entity type: Organization)
- **Enumerated:** June 10, 2015
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **Organization subpart:** No
- **Authorized official:** Thomas Robertson, OWNER
## Practice location
- **Address:** 450 JONES RD, Rocky Mount, NC 27804-8207
- **Phone:** (252) 443-1006 · **Fax:** (252) 937-8366
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (DME, North Carolina, Physician - Ophthalmology) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Ophthalmology (5), Optometry (4); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 15, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043691595) · Data from the CMS NPPES public registry.