NPIMap

Organization Active NPI

Carolina Eye Associates Inc

  • Ophthalmology Physician
  • Southern Pines, NC
National Provider Identifier
1245211333
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CAROLINA EYE ASSOCIATES INC
Practice address
2170 Midland Rd
Southern Pines, NC 28387-2927
Phone
(910) 295-2100
Fax
(910) 295-3625
NPI assigned
Nov 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
TJ McCaskill
Title
Chief Executive Officer
Phone
(910) 295-2100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2170 Midland Rd
Southern Pines, NC 28387-2927

Mailing address

2170 Midland Rd
Southern Pines, NC 28387-2927
Phone (910) 295-2100

Other identifiers 6

IdentifierTypeStateIssuer
01199OtherNCBCBS
8060OtherSCSC MEDICARE
CL9157OtherNCRAILROAD MEDICARE
NPA120MedicaidSC
8901199MedicaidNC
CD8017OtherNCRAILROAD MEDICARE

Other names 1

  • Carolina Eye Associates PA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040415001335 NC Part B Supplier - Clinic/Group Practice 0446245864 Receives reassigned benefits from 38 practitioners
12 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fayetteville, NC; Winston Salem, NC; Wadesboro, NC; Southern Pines, NC; Sanford, NC; Rockingham, NC; Raeford, NC; Lumberton, NC…

Other NPIs on the same Medicare enrollment 12

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0245573Carolina Eye Associates2170 Midland Road, Southern Pines, NC 28387Certificate of waiverJul 10, 2028

National Provider Directory

National Provider Directory

Locations

1991 Fordham Dr
Fayetteville, NC 28304
Phone (910) 484-3114

1991 Fordham Dr
Ste 201
Fayetteville, NC 28304
Phone (240) 645-4015

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 40

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1245211333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 MIDLAND RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872927",
            "telephone_number": "910-295-2100",
            "fax_number": "910-295-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 MIDLAND RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872927",
            "telephone_number": "910-295-2100",
            "fax_number": "910-295-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA EYE ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "MCCASKILL",
        "authorized_official_first_name": "TJ",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "910-295-2100"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01199",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICARE",
            "identifier": "8060",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL9157",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPA120",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901199",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD8017",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carolina Eye Associates PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.

Verify at the official NPI Registry.