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ROCKY MOUNT EYE PA
NPI 1043691595
Ophthalmology in Rocky Mount, NC

Active since June 10, 2015CLIA 34D2109000 · Waiver
450 JONES RD, ROCKY MOUNT, NC 27804(252) 443-1006(252) 937-8366 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 15, 2021, Jan 29, 2020, Oct 29, 2019 and 1 more (4 updates tracked since 2015).

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

NPI1043691595
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameROCKY MOUNT EYE PA
Location Address450 JONES RDRocky Mount, NC 27804-8207
Mailing Address450 Jones RdRocky Mount, NC 27804-8207 · (252) 443-1006 · Fax (252) 937-8366
Phone(252) 443-1006
Fax(252) 937-8366
Organization SubpartNo
Authorized OfficialThomas J RobertsonOwner · (252) 443-1006
Enumeration DateJune 10, 2015
Last NPPES UpdateOctober 15, 20214 updates tracked since enumeration
NPPES CertifiedNovember 6, 2020
✔ NPI 1043691595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X
450 JONES RD, Rocky Mount, NC 27804
Open in Google Maps ↗

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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, NC
Active · expires Feb 16, 2028
CLIA Number34D2109000
Laboratory TypePhysician Office
Certificate Effective DateFebruary 17, 2026
Certificate Expiration DateFebruary 16, 2028
Laboratory DirectorThomas J. Robertson
Laboratory Phone(252) 443-1006
Laboratory LocationRocky Mount Eye PA450 Jones Road, Rocky Mount, NC 27804
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLARD N SHEPHERD O.D.
Optometrist
450 JONES RD
ROCKY MOUNT, NC 27804
Nash County (252) 443-1006
CALEB A LESNOFF OD
Optometrist
450 JONES RD
ROCKY MOUNT, NC 27804
Nash County (252) 443-1006
DR. THOMAS J ROBERTSON JR. M.D.
Ophthalmology
450 JONES RD
ROCKY MOUNT, NC 27804
Nash County (252) 443-1006
HOLLY GRIFFIN BURKHOLDER PA-C
Physician Assistant
450 JONES RD
ROCKY MOUNT, NC 27804
Nash County (252) 443-1006
TJR OBS LLC
Clinic/Center (Ambulatory Surgical)
450 JONES RD
ROCKY MOUNT, NC 27804
Nash County (252) 443-1006

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 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.

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 Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of Tennessee 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 4 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.