1. Home
  2. Directory
  3. North Carolina
  4. Fuquay Varina
  5. Ophthalmology
  6. NPI Profile

FUQUAY OPHTHALMOLOGY AND GLAUCOMA PC
NPI 1083717516
Ophthalmology in Fuquay Varina, NC

Active since September 07, 2006
605 ATTAIN ST STE 101, FUQUAY VARINA, NC 27526(919) 567-3709(919) 567-3710 Get Directions Write a Review

NPPES record last updated: June 2, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fuquay Ophthalmology And Glaucoma Pc NPPES

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

FUQUAY OPHTHALMOLOGY AND GLAUCOMA PC (NPI 1083717516) is a healthcare organization registered as an ophthalmology in Fuquay Varina, North Carolina and active in the NPI registry since September 2006. The organization lists Kenneth W Roach, President, as its authorized official.

NPPES Registry Identity

NPI1083717516
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameFUQUAY OPHTHALMOLOGY AND GLAUCOMA PC
Location Address605 ATTAIN ST STE 101Fuquay Varina, NC 27526-1972
Mailing Address605 Attain St Ste 101Fuquay Varina, NC 27526-1972 · (919) 567-3709 · Fax (919) 567-3710
Phone(919) 567-3709
Fax(919) 567-3710
Organization SubpartNo
Authorized OfficialKenneth W RoachPresident · (919) 567-3709
Enumeration DateSeptember 7, 2006
Last NPPES UpdateJune 2, 2020
NPPES CertifiedJune 2, 2020
✔ NPI 1083717516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
605 ATTAIN ST STE 101, Fuquay Varina, NC 27526
Open in Google Maps ↗

Other Identifiers 1

Medicaid89014WMNC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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)

Fuquay Ophthalmology And Glaucoma Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Fuquay Ophthalmology And Glaucoma PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Kenneth Roach, M.D.
Ophthalmology
NPI 1780686014
1000 N MAIN ST SUITE #204
Fuquay Varina, NC 27526
(919) 567-3709
✔ PECOS✔ Accepts Medicare1.6 mi
Peter Rogaski, OD
Optometry
NPI 1629051693
1040 RANDOLPH ST STE 1415
Thomasville, NC 27360
(336) 472-8700
✔ PECOS75 mi

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 Fuquay Ophthalmology And Glaucoma PC's NPI number?

The NPI number for Fuquay Ophthalmology And Glaucoma PC is 1083717516. It was assigned to this organization in the NPPES registry on September 7, 2006.

Where is Fuquay Ophthalmology And Glaucoma PC located?

Fuquay Ophthalmology And Glaucoma PC is located at 605 Attain St Ste 101, Fuquay Varina, NC 27526. The listed phone number is (919) 567-3709.

What is Fuquay Ophthalmology And Glaucoma PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Fuquay Ophthalmology And Glaucoma PC enrolled in Medicare?

Yes. Fuquay Ophthalmology And Glaucoma PC is registered in the Medicare PECOS enrollment system.

What insurance does Fuquay Ophthalmology And Glaucoma PC accept?

Health plans from Blue Cross and Blue Shield of NC list Fuquay Ophthalmology And Glaucoma PC 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 Fuquay Ophthalmology And Glaucoma PC was last updated on June 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.