Organization Active NPI

McPherson Family Eye Care OD, PA

  • Optometrist
  • Wake Forest, NC
National Provider Identifier
1265703607
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1984 Issued in NC
Legal business name
MCPHERSON FAMILY EYE CARE OD, PA
Practice address
3150 Rogers Rd
Suite 110
Wake Forest, NC 27587-4195
Phone
(919) 263-9163
Fax
(919) 263-9408
NPI assigned
Jan 17, 2012
Last updated
Apr 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Jennifer Jill Sulinski
Title
Billing Manager
Phone
(919) 815-7819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1984 NC Primary

Addresses

Primary practice location

3150 Rogers Rd
Suite 110
Wake Forest, NC 27587-4195

Mailing address

3150 Rogers Rd Ste 110
Wake Forest, NC 27587-4196
Phone (919) 263-9163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120925000487 NC Part B Supplier - Clinic/Group Practice 1355590969 Receives reassigned benefits from 8 practitioners
Practice locations: Wake Forest, NC
O20121116000168 NC DME Supplier - Physician - OptometristDME Supplier - Optician 1355590969 Practice locations: Wake Forest, NC

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
34D2103036McPherson Family Eye Care OD PA3150 Rogers Road, Suite 110, Wake Forest, NC 27587Certificate of waiverSep 19, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
McPherson Family Eye Care3150 Rogers Rd, Wake Forest, NC 27587-4196(919) 263-9163 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Aug 10, 2012

National Provider Directory

National Provider Directory

Locations

6325 Falls of Neuse Rd
Ste 1
Raleigh, NC 27615
Phone (919) 876-1418

3150 Rogers Rd
Ste 110
Wake Forest, NC 27587
Phone (919) 263-6163

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1265703607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 ROGERS RD STE 110",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874196",
            "telephone_number": "919-263-9163",
            "fax_number": "919-263-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 ROGERS RD",
            "address_2": "SUITE 110",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874195",
            "telephone_number": "919-263-9163",
            "fax_number": "919-263-9408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCPHERSON FAMILY EYE CARE OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "SULINSKI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "JILL",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "919-815-7819"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.