OPTOMETRIC EYE CLINIC, P.A.
NPI 1295030989
Optometrist in Mooresville, NC
About Optometric Eye Clinic, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPTOMETRIC EYE CLINIC, P.A. (NPI 1295030989) is a healthcare organization registered as an optometrist in Mooresville, North Carolina and active in the NPI registry since January 2011. The organization lists Peggy Lynn Wike, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Optometric Eye Clinic, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Optometric Eye Clinic, P.A., which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medical Equipment Supplier Medicare DMEPOS 3
Medicare supplier enrollment and the product categories Optometric Eye Clinic PA carries, from the Medicare DMEPOS supplier directory.
Optometric Eye Clinic PA
DMEPOS supplier · Mooresville, NCAccepts Medicare assignment
Optometric Eye Clinic 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.
Medicare Product Categories
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 Optometric Eye Clinic, P.A.'s NPI number?
The NPI number for Optometric Eye Clinic, P.A. is 1295030989. It was assigned to this organization in the NPPES registry on January 11, 2011.
Where is Optometric Eye Clinic, P.A. located?
Optometric Eye Clinic, P.A. is located at 622 N Main St, Mooresville, NC 28115. The listed phone number is (704) 664-5406.
What is Optometric Eye Clinic, P.A.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Optometric Eye Clinic, P.A. enrolled in Medicare?
Yes. Optometric Eye Clinic, P.A. is registered in the Medicare PECOS enrollment system.
When is Optometric Eye Clinic, P.A.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (North Carolina, Physician - Optometrist) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Optometric Eye Clinic, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Optometric Eye Clinic, P.A.. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Optometric Eye Clinic, P.A. accept Medicare assignment for medical equipment?
Yes. As a Medicare medical equipment supplier, Optometric Eye Clinic PA accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.
What insurance does Optometric Eye Clinic, P.A. accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of NC and 4 other insurers list Optometric Eye Clinic, P.A. 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 Optometric Eye Clinic, P.A. was last updated on September 30, 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.
# Optometric Eye Clinic, P.a. · NPI 1295030989
Optometrist organization in Mooresville, North Carolina. Organization record, active in the CMS NPPES registry since January 11, 2011.
## Identity
- **NPI:** 1295030989 (Entity type: Organization)
- **Enumerated:** January 11, 2011
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Peggy Wike, OPTOMETRIST
## Practice location
- **Address:** 622 N MAIN ST, Mooresville, NC 28115-2312
- **Phone:** (704) 664-5406 · **Fax:** (704) 663-6498
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (DME, North Carolina, Physician - Optometrist) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1295030989) · Data from the CMS NPPES public registry.