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PROFESSIONAL EYE CARE OPTOMETRY, PA
NPI 1053972877
Optometrist in Elizabethtown, NC

Active since June 24, 2019CLIA 34D2043045 · Waiver
432 W BROAD ST, ELIZABETHTOWN, NC 28337(910) 991-3003(910) 991-3057 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Professional Eye Care Optometry, Pa NPPES

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

PROFESSIONAL EYE CARE OPTOMETRY, PA (NPI 1053972877) is a healthcare organization registered as an optometrist in Elizabethtown, North Carolina and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through June 25, 2028 and lists Enid Rosario-mccullough, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1053972877
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePROFESSIONAL EYE CARE OPTOMETRY, PA
Location Address432 W BROAD STElizabethtown, NC 28337
Mailing Address3701 S Main StHope Mills, NC 28348-1958 · (910) 423-0700 · Fax (910) 423-0974
Phone(910) 991-3003
Fax(910) 991-3057
Organization SubpartNo
Authorized OfficialEnid Rosario-mcculloughCredentialing · (910) 423-0700
Enumeration DateJune 24, 2019
✔ NPI 1053972877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
432 W BROAD ST, Elizabethtown, NC 28337
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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.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 34D2043045

Professional Eye Care-Optometry PA · Hope Mills, NC
Active · expires Jun 25, 2028
CLIA Number34D2043045
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2026
Certificate Expiration DateJune 25, 2028
Laboratory DirectorDr. Eric J. Raynor
Laboratory Phone(910) 423-0700
Laboratory LocationProfessional Eye Care-Optometry PA3701 S Main St, Hope Mills, NC 28348
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

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

PEC OPTOMETRY GROUP, P.A.
Optometrist
432 W BROAD ST
ELIZABETHTOWN, NC 28337
Bladen County (910) 592-1908

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 Professional Eye Care Optometry, PA's NPI number?

The NPI number for Professional Eye Care Optometry, PA is 1053972877. It was assigned to this organization in the NPPES registry on June 24, 2019.

Where is Professional Eye Care Optometry, PA located?

Professional Eye Care Optometry, PA is located at 432 W Broad St, Elizabethtown, NC 28337. The listed phone number is (910) 991-3003.

What is Professional Eye Care Optometry, PA's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Professional Eye Care Optometry, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2043045) is associated with this NPI, valid through June 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Professional Eye Care Optometry, PA accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Professional Eye Care Optometry, 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 Professional Eye Care Optometry, PA was last updated on June 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.