Active NPI
Rocky Mount Eye PA
- Ophthalmology Physician
- Rocky Mount, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- ROCKY MOUNT EYE PA
- Practice address
- 450 Jones Rd
Rocky Mount, NC 27804-8207 - Phone
- (252) 443-1006
- Fax
- (252) 937-8366
- NPI assigned
- Jun 10, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas J Robertson Jr., M.D.
- Title
- Owner
- Phone
- (252) 443-1006
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
450 Jones Rd
Rocky Mount, NC 27804-8207
Mailing address
450 Jones Rd
Rocky Mount, NC 27804-8207
Phone (252) 443-1006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2109000 | Rocky Mount Eye PA | Certificate of waiver | Feb 16, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Rocky Mount, NC
- NPI 1154382612
-
- Optometrist
- Rocky Mount, NC
- NPI 1063884575
-
- Optometrist
- Rocky Mount, NC
- NPI 1033170154
-
- Physician Assistant
- Rocky Mount, NC
- NPI 1861668303
-
- Ophthalmology Physician
- Chapel Hill, NC
- NPI 1295750727
-
- Ophthalmology Physician
- Raleigh, NC
- NPI 1962454835
-
- Optometrist
- Rocky Mount, NC
- NPI 1154758670
-
- Optometrist
- Rocky Mount, NC
- NPI 1346201845
-
- Ophthalmology Physician
- Bronx, NY
- NPI 1134342439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433894400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634256000000",
"number": "1043691595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 JONES RD",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278048207",
"telephone_number": "252-443-1006",
"fax_number": "252-937-8366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 JONES RD",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278048207",
"telephone_number": "252-443-1006",
"fax_number": "252-937-8366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKY MOUNT EYE PA",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-10",
"last_updated": "2021-10-15",
"certification_date": "2020-11-06",
"status": "A",
"authorized_official_last_name": "ROBERTSON",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-443-1006",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, NC
- Rocky Mount Chiropractic, PLLC
- Rocky Mount Drugs (Almands Drug Store)
- Rocky Mount Drugs Inc (Almand's Drug Store)
- Rocky Mount Drugs Inc (Almand's Drug Store)
- Rocky Mount Drugs Inc (Almand's Discount Drug Store)
- Rocky Mount Family Medical Center PA
- Rocky Mount Gynecology and Women's Health, PA
- Rocky Mount Hair Clinic
- Rocky Mount Health and Rehabilitation, LLC (South Village)
- Rocky Mount Health Care PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.