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WAYNESBOROUGH OPHTHALMOLOGY, P.A.
NPI 1124083167
Ophthalmology in Goldsboro, NC

Active since April 20, 2006
103 COX BLVD, GOLDSBORO, NC 27534(919) 734-8440(919) 734-9387 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Waynesborough Ophthalmology, P.a. NPPES

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

WAYNESBOROUGH OPHTHALMOLOGY, P.A. (NPI 1124083167) is a healthcare organization registered as an ophthalmology in Goldsboro, North Carolina and active in the NPI registry since April 2006. The organization lists Jennifer Faye Jordan, President, as its authorized official.

NPPES Registry Identity

NPI1124083167
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameWAYNESBOROUGH OPHTHALMOLOGY, P.A.
Location Address103 COX BLVDGoldsboro, NC 27534-9478
Mailing Address103 Cox BlvdGoldsboro, NC 27534-9478 · (919) 734-8440 · Fax (919) 734-9387
Phone(919) 734-8440
Fax(919) 734-9387
Organization SubpartNo
Authorized OfficialJennifer Faye JordanPresident · (919) 734-8440
Enumeration DateApril 20, 2006
Last NPPES UpdateMay 2, 2023
NPPES CertifiedMay 2, 2023
✔ NPI 1124083167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in NC · 25961
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.
Also ListedOptometristTaxonomy 152W00000X · License 1019 (NC)
103 COX BLVD, Goldsboro, NC 27534
Open in Google Maps ↗

Other Identifiers 2

Medicaid890287ANC
Other0287ANC · Bcbs Of Nc

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

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Waynesborough Ophthalmology PA carries, from the Medicare DMEPOS supplier directory.

Waynesborough Ophthalmology PA

DMEPOS supplier · Goldsboro, NC
✔

Accepts Medicare assignment

Waynesborough Ophthalmology PA agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20676821
Medicare Participant SinceOctober 1, 1986
Supplier Location103 Cox BlvdGoldsboro, NC 27534
Phone(919) 734-1964
Provider TypePhysician – Ophthalmology
Supplier Specialties
Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 9

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

DR. JENNIFER FAYE JORDAN MD
Ophthalmology
103 COX BLVD
GOLDSBORO, NC 27534
Wayne County (919) 734-8440
DR. TERRY LEE FORREST MD
Ophthalmology
103 COX BLVD
GOLDSBORO, NC 27534
Wayne County (919) 734-8440
ALLISON ROSE RADFORD PA-C
Physician Assistant (Medical)
103 COX BLVD
GOLDSBORO, NC 27534
Wayne County (919) 734-8440
MRS. ANNA INGRAM TUCKER PA-C
Physician Assistant
103 COX BLVD
GOLDSBORO, NC 27534
Wayne County (919) 734-8440
DAVID A CHESNUTT MD
Ophthalmology
103 COX BLVD
GOLDSBORO, NC 27534
Wayne County (919) 734-8440
DR. BARRY HOYLE TEASLEY MD
Ophthalmology
103 COX BLVD
GOLDSBORO, NC 27534
Wayne County (919) 734-8440
DR. ROBERT GRIER HARDING OD
Optometrist
103 COX BLVD
GOLDSBORO, NC 27534
Wayne County (919) 734-8440
REBECCA AUSTON CROOM PA
Physician Assistant
103 COX BLVD
GOLDSBORO, NC 27534
Wayne County (919) 734-8440

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 Waynesborough Ophthalmology, P.A.'s NPI number?

The NPI number for Waynesborough Ophthalmology, P.A. is 1124083167. It was assigned to this organization in the NPPES registry on April 20, 2006.

Where is Waynesborough Ophthalmology, P.A. located?

Waynesborough Ophthalmology, P.A. is located at 103 Cox Blvd, Goldsboro, NC 27534. The listed phone number is (919) 734-8440.

What is Waynesborough Ophthalmology, P.A.'s specialty?

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

Does Waynesborough Ophthalmology, P.A. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Waynesborough Ophthalmology PA accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Waynesborough Ophthalmology, P.A. was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.