PREMIER FAMILY EYE CARE OD PLLC
NPI 1063739274
Optometrist in Indian Trail, NC
About Premier Family Eye Care Od Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIER FAMILY EYE CARE OD PLLC (NPI 1063739274) is a healthcare organization registered as an optometrist in Indian Trail, North Carolina and active in the NPI registry since April 2010. The organization lists Timothy Mack, Optometrist, 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)
Premier Family Eye Care Od Pllc 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 Premier Family Eye Care Od PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. 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.
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 Premier Family Eye Care Od PLLC's NPI number?
The NPI number for Premier Family Eye Care Od PLLC is 1063739274. It was assigned to this organization in the NPPES registry on April 27, 2010.
Where is Premier Family Eye Care Od PLLC located?
Premier Family Eye Care Od PLLC is located at 6044 W Highway 74, Indian Trail, NC 28079. The listed phone number is (704) 821-3937.
What is Premier Family Eye Care Od PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Premier Family Eye Care Od PLLC enrolled in Medicare?
Yes. Premier Family Eye Care Od PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Premier Family Eye Care Od PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Premier Family Eye Care Od 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Premier Family Eye Care Od PLLC 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 1 other insurer list Premier Family Eye Care Od 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 Premier Family Eye Care Od PLLC was last updated on January 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Premier Family Eye Care Od Pllc · NPI 1063739274
Optometrist organization in Indian Trail, North Carolina. Organization record, active in the CMS NPPES registry since April 27, 2010.
## Identity
- **NPI:** 1063739274 (Entity type: Organization)
- **Enumerated:** April 27, 2010
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Timothy Mack, OPTOMETRIST
## Practice location
- **Address:** 6044 W HIGHWAY 74, Indian Trail, NC 28079-3591
- **Phone:** (704) 821-3937
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063739274) · Data from the CMS NPPES public registry.