Active NPI
Carolina Eye Associates Inc
- Ophthalmology Physician
- Fayetteville, NC
National Provider Identifier
1265587828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- CAROLINA EYE ASSOCIATES INC
- Practice address
- 1991 Fordham Dr
Suite 301
Fayetteville, NC 28304-3773 - Phone
- (910) 485-2020
- Fax
- (910) 485-7571
- NPI assigned
- Jan 24, 2007
- 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
- TJ McCaskill
- Title
- Chief Executive Officer
- Phone
- (910) 295-2100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1991 Fordham Dr
Suite 301
Fayetteville, NC 28304-3773
Mailing address
2170 Midland Rd
Southern Pines, NC 28387-2927
Phone (910) 295-2100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01199 | Other | NC | BCBS |
| 5950279 | Medicaid | NC |
Other names 1
- Carolina Eye Associates PA
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Other NPIs on the same Medicare enrollment 12
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Ophthalmology Physician
- Southern Pines, NC
- NPI 1245211333
O20040415001335
-
- Ophthalmology Physician
- Winston Salem, NC
- NPI 1578124343
O20040415001335
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 |
|---|---|---|---|
| 34D2092320 | Carolina Eye Associates | Certificate of waiver | Mar 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
1991 Fordham Dr
Ste 301
Fayetteville, NC 28304
Phone (910) 484-7744
1991 Fordham Dr
Ste 203
Fayetteville, NC 28304
2170 Midland Rd
Ste 301
Southern Pines, NC 28387
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Southern Pines, NC
- NPI 1952675480
-
- Physician Assistant
- Southern Pines, NC
- NPI 1295742054
-
- Ophthalmology Physician
- Southern Pines, NC
- NPI 1962882886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1763683200000",
"number": "1265587828",
"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": "1991 FORDHAM DR",
"address_2": "SUITE 301",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043773",
"telephone_number": "910-485-2020",
"fax_number": "910-485-7571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINA EYE ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-24",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"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": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5950279",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Carolina Eye Associates PA",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fayetteville, NC
- Carolina Choices of Fayetteville
- Carolina Collaborative Community Care, Inc
- Carolina Comfort Dental
- Carolina Cumberland Operator LLC
- Carolina Eastern Health Services, Inc.
- Carolina Family Chiropractic PA
- Carolina Family Home Care LLC
- Carolina Family Pharmacy ,Inc
- Carolina Family Pharmacy Inc
- Carolina Family Practice Centre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.