PEC OPTOMETRY GROUP, P.A. - NPI 1114504958 - Optometrist in Roseboro, NC

Q: What is Pec Optometry Group, P.A.'s NPI number?

The NPI number for Pec Optometry Group, P.A. is 1114504958. It was assigned to this organization in the NPPES registry on March 26, 2021.

Q: What is Pec Optometry Group, P.A.'s specialty?

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

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About Pec Optometry Group, P.a. NPPES

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

PEC OPTOMETRY GROUP, P.A. (NPI 1114504958) is a healthcare organization registered as an optometrist in Roseboro, North Carolina and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through December 7, 2026 and lists Roy Max Raynor, Od/owner, as its authorized official.

NPPES Registry Identity

NPI1114504958

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NamePEC OPTOMETRY GROUP, P.A.

Location Address305 W ROSEBORO STRoseboro, NC 28382-8786

Mailing Address113 W Main StBenson, NC 27504-1343 · (919) 894-7579 · Fax (919) 894-4674

Phone(910) 525-5296

Fax(910) 525-5285

Organization SubpartNo

Authorized OfficialRoy Max RaynorOd/owner · (919) 894-7579

Enumeration DateMarch 26, 2021

NPPES CertifiedMarch 26, 2021

✔ NPI 1114504958 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.

305 W ROSEBORO ST, Roseboro, NC 28382

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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 MULTIPLE SINGLE SPECIALTY GROUP

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 34D2122898

Pec Optometry Group, PA · Roseboro, NC

Active · expires Dec 7, 2026

CLIA Number34D2122898

Laboratory TypePhysician Office

Certificate Effective DateDecember 8, 2024

Certificate Expiration DateDecember 7, 2026

Laboratory DirectorRoy Max Raynor Jr

Laboratory Phone(910) 525-5296

Laboratory LocationPec Optometry Group, PA305 West Roseboro Street, Roseboro, NC 28382

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Pec Optometry Group, P.A.'s NPI number?

The NPI number for Pec Optometry Group, P.A. is 1114504958. It was assigned to this organization in the NPPES registry on March 26, 2021.

Where is Pec Optometry Group, P.A. located?

Pec Optometry Group, P.A. is located at 305 W Roseboro St, Roseboro, NC 28382. The listed phone number is (910) 525-5296.

What is Pec Optometry Group, P.A.'s specialty?

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

Does Pec Optometry Group, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2122898) is associated with this NPI, valid through December 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pec Optometry Group, P.A. was last updated on March 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.