RALEIGH EYE AND FACE PLASTIC SURGERY PLLC
NPI 1720629637
Ophthalmology in Raleigh, NC

Q: What is Raleigh Eye And Face Plastic Surgery PLLC's specialty?

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

Active since October 01, 2019

4201 LAKE BOONE TRL STE 103, RALEIGH, NC 27607(919) 626-8783(844) 456-0925 Get Directions Write a Review

NPPES record last updated: October 5, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Raleigh Eye And Face Plastic Surgery Pllc NPPES

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

RALEIGH EYE AND FACE PLASTIC SURGERY PLLC (NPI 1720629637) is a healthcare organization registered as an ophthalmology in Raleigh, North Carolina and active in the NPI registry since October 2019. The organization lists Pradeep Mettu, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1720629637

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameRALEIGH EYE AND FACE PLASTIC SURGERY PLLC

Location Address4201 LAKE BOONE TRL STE 103Raleigh, NC 27607-7511

Mailing Address4201 Lake Boone Trl Ste 103Raleigh, NC 27607-7511 · (919) 626-8783 · Fax (844) 456-0925

Phone(919) 626-8783

Fax(844) 456-0925

Organization SubpartNo

Authorized OfficialPradeep MettuOwner/member · (919) 626-8783

Enumeration DateOctober 1, 2019

Last NPPES UpdateOctober 5, 2019

✔ NPI 1720629637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedClinic/Center · Ophthalmologic SurgeryTaxonomy 261QS0132X

4201 LAKE BOONE TRL STE 103, Raleigh, NC 27607

Open in Google Maps ↗

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)

Raleigh Eye And Face Plastic Surgery Pllc 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 Raleigh Eye And Face Plastic Surgery PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Pradeep Mettu, M.D.

Ophthalmology

NPI 1215236419

4201 LAKE BOONE TRL STE 103
Raleigh, NC 27607

(919) 626-8783

✔ 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 Raleigh Eye And Face Plastic Surgery PLLC's NPI number?

The NPI number for Raleigh Eye And Face Plastic Surgery PLLC is 1720629637. It was assigned to this organization in the NPPES registry on October 1, 2019.

Where is Raleigh Eye And Face Plastic Surgery PLLC located?

Raleigh Eye And Face Plastic Surgery PLLC is located at 4201 Lake Boone Trl Ste 103, Raleigh, NC 27607. The listed phone number is (919) 626-8783.

What is Raleigh Eye And Face Plastic Surgery PLLC's specialty?

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

Is Raleigh Eye And Face Plastic Surgery PLLC enrolled in Medicare?

Yes. Raleigh Eye And Face Plastic Surgery PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Raleigh Eye And Face Plastic Surgery PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Raleigh Eye And Face Plastic Surgery PLLC. 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.

What insurance does Raleigh Eye And Face Plastic Surgery PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Raleigh Eye And Face Plastic Surgery PLLC 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 Raleigh Eye And Face Plastic Surgery PLLC was last updated on October 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.