PEMBERTON EYE OPTOMETRY
NPI 1720154974
Optometrist in Waynesboro, VA

Q: What is Mary Lee Pemberton, Od PC's NPI number?

The NPI number for Mary Lee Pemberton, Od PC is 1720154974. It was assigned to this organization in the NPPES registry on November 28, 2006. The provider is doing business as Pemberton Eye Optometry.

Q: What is Mary Lee Pemberton, Od PC's specialty?

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

Active since November 28, 2006

2522 JEFFERSON HWY, SUITE 106, WAYNESBORO, VA 22980(540) 946-8727(540) 949-5526 Get Directions Write a Review

NPPES record last updated: June 12, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Pemberton Eye Optometry NPPES

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

PEMBERTON EYE OPTOMETRY (NPI 1720154974) is a healthcare organization registered as an optometrist in Waynesboro, Virginia and active in the NPI registry since November 2006. The organization lists Mary Lee Pemberton, President, as its authorized official.

NPPES Registry Identity

NPI1720154974

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameMARY LEE PEMBERTON, OD PC

Location Address2522 JEFFERSON HWY, SUITE 106Waynesboro, VA 22980-8503

Mailing Address2522 Jefferson Hwy, Suite 106Waynesboro, VA 22980-8503 · (540) 946-8727 · Fax (540) 949-5526

Phone(540) 946-8727

Fax(540) 949-5526

Organization SubpartNo

Authorized OfficialMary Lee PembertonPresident · (540) 946-8727

Enumeration DateNovember 28, 2006

Last NPPES UpdateJune 12, 2009

✔ NPI 1720154974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in VA · 0618000738

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.

2522 JEFFERSON HWY, Waynesboro, VA 22980

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Other Names 1

Doing Business AsPemberton Eye Optometry

Other Identifiers 2

Medicare NSC6071520001VA

Medicare ID-Type UnspecifiedCO8657VA · Group Number

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pemberton Eye Optometry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pemberton Eye Optometry, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary Pemberton, O.D.

Optometry

NPI 1003802422

2522 JEFFERSON HWY SUITE 106
Waynesboro, VA 22980

(540) 946-8727

✔ PECOS✔ Accepts MedicareSame address

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 Mary Lee Pemberton, Od PC's NPI number?

The NPI number for Mary Lee Pemberton, Od PC is 1720154974. It was assigned to this organization in the NPPES registry on November 28, 2006. The provider is doing business as Pemberton Eye Optometry.

Where is Mary Lee Pemberton, Od PC located?

Mary Lee Pemberton, Od PC is located at 2522 Jefferson Hwy Suite 106, Waynesboro, VA 22980. The listed phone number is (540) 946-8727.

What is Mary Lee Pemberton, Od PC's specialty?

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

Is Mary Lee Pemberton, Od PC enrolled in Medicare?

Yes. Mary Lee Pemberton, Od PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mary Lee Pemberton, Od PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Mary Lee Pemberton, Od PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mary Lee Pemberton, Od PC was last updated on June 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.