PROFESSIONAL EYE CARE OPTOMETRY, PA
NPI 1053972877
Optometrist in Elizabethtown, NC
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 Jillian Holmes, Insurance/billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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)
Professional Eye Care Optometry, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Professional Eye Care Optometry, PA, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (4)
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 34D2043045
Professional Eye Care-Optometry PA · Hope Mills, 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 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.
Is Professional Eye Care Optometry, PA enrolled in Medicare?
Yes. Professional Eye Care Optometry, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Professional Eye Care Optometry, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Professional Eye Care Optometry, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.
# Professional Eye Care Optometry, Pa · NPI 1053972877
Optometrist organization in Elizabethtown, North Carolina. Organization record, active in the CMS NPPES registry since June 24, 2019.
## Identity
- **NPI:** 1053972877 (Entity type: Organization)
- **Enumerated:** June 24, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Jillian Holmes, INSURANCE/BILLING MANAGER
## Practice location
- **Address:** 432 W BROAD ST, Elizabethtown, NC 28337
- **Phone:** (910) 991-3003 · **Fax:** (910) 991-3057
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 24, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053972877) · Data from the CMS NPPES public registry.