Active NPI
Tracy Macintyre Raykovicz, O.D.
- Optometrist
- Monroe, NC
National Provider Identifier
1275587495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- NC1894
- Practice address
- 2115 W Roosevelt Blvd
Monroe, NC 28110-2737 - Phone
- (704) 238-1849
- Fax
- (704) 238-1850
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NC1894 | NC | Primary |
Addresses
Primary practice location
2115 W Roosevelt Blvd
Monroe, NC 28110-2737
Mailing address
815 Deercross LN
Waxhaw, NC 28173-6603
Phone (704) 847-7474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98478700 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16618 Riverstone Way
Charlotte, NC 28277-5746
Phone (704) 817-3800
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NC1894 | NC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blink Eye Care and Eye Wear OD., PA | Optometrist | Current | Accepting new patients |
| J & L Optometric Assocs.PA | Optometrist | Past | Accepting new patients |
Locations
16618 Riverstone Way
Charlotte, NC 28277
Phone (704) 817-3800
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Charlotte, NC
- NPI 1356675532
-
- Optometrist
- Waxhaw, NC
- NPI 1710903950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1275587495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 DEERCROSS LN",
"city": "WAXHAW",
"state": "NC",
"postal_code": "281736603",
"telephone_number": "704-847-7474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 W ROOSEVELT BLVD",
"city": "MONROE",
"state": "NC",
"postal_code": "281102737",
"telephone_number": "704-238-1849",
"fax_number": "704-238-1850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYKOVICZ",
"first_name": "TRACY",
"middle_name": "MACINTYRE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "NC1894",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "98478700",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NC
- Christy P Raney, PT
- Innanje Ravindranath Rao, MD
- Cynthia Reeves Rape, MSN, APRN, ACNS-BC
- William Timothy Rasmussen
- Emily J Rayes-Prince, M.D.
- Jessica Elizabeth Raynor, LAT, ATC
- Razzano Chiropractic PC
- John Francis Razzano, D.C.
- Wendy Erin Tucker Rea, P.A.
- Reach Restoring Evaluating and Changing Homes Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.