1. Home
  2. Directory
  3. North Carolina
  4. Pembroke
  5. Optometrist
  6. NPI Profile

PEMBROKE OPTOMETRIC CLINIC PA
NPI 1942284880
Optometrist in Pembroke, NC

Active since December 05, 2005
204 UNION CHAPEL RD, PEMBROKE, NC 28372(910) 521-9744(910) 521-1310 Get Directions Write a Review

NPPES record last updated: February 12, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Pembroke Optometric Clinic Pa NPPES

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

PEMBROKE OPTOMETRIC CLINIC PA (NPI 1942284880) is a healthcare organization registered as an optometrist in Pembroke, North Carolina and active in the NPI registry since December 2005. The organization lists Sandra Kaye Locklear, President, as its authorized official.

NPPES Registry Identity

NPI1942284880
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePEMBROKE OPTOMETRIC CLINIC PA
Location Address204 UNION CHAPEL RDPembroke, NC 28372-2109
Mailing AddressPo Box 2109Pembroke, NC 28372-2109 · (910) 521-9744 · Fax (910) 521-1310
Phone(910) 521-9744
Fax(910) 521-1310
Organization SubpartNo
Authorized OfficialSandra Kaye LocklearPresident · (910) 521-9744
Enumeration DateDecember 5, 2005
Last NPPES UpdateFebruary 12, 2008
✔ NPI 1942284880 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 NC · 1318
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.
204 UNION CHAPEL RD, Pembroke, NC 28372
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN2337867NC
Medicare UPINT81641
Medicaid8909451NC
Medicare NSC5104100001NC

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Pembroke Optometric Clinic, PA carries, from the Medicare DMEPOS supplier directory.

Pembroke Optometric Clinic, PA

DMEPOS supplier · Pembroke, NC
✔

Accepts Medicare assignment

Pembroke Optometric 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.

PTAN (Medicare Supplier Number)20588645
Medicare Participant SinceMay 6, 2004
Supplier Location812 Candy Park Rd Ste 5101Pembroke, NC 28372
Phone(910) 521-9744
Supplier Specialties
Optometrist

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

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

DR. SANDRA KAYE LOCKLEAR OD
Optometrist
204 UNION CHAPEL RD
PEMBROKE, NC 28372
Robeson County (910) 521-9744

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 Pembroke Optometric Clinic PA's NPI number?

The NPI number for Pembroke Optometric Clinic PA is 1942284880. It was assigned to this organization in the NPPES registry on December 5, 2005.

Where is Pembroke Optometric Clinic PA located?

Pembroke Optometric Clinic PA is located at 204 Union Chapel Rd, Pembroke, NC 28372. The listed phone number is (910) 521-9744.

What is Pembroke Optometric Clinic PA's specialty?

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

Does Pembroke Optometric Clinic PA accept Medicare assignment for medical equipment?

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

What insurance does Pembroke Optometric Clinic PA accept?

Health plans from Blue Cross and Blue Shield of NC list Pembroke Optometric Clinic PA 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 Pembroke Optometric Clinic PA was last updated on February 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.