NPIMap

Organization Active NPI

Pec Optometry Group, P.a.

  • Optometrist
  • Benson, NC
National Provider Identifier
1356529960
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PEC OPTOMETRY GROUP, P.A.
Practice address
113 W Main St
Benson, NC 27504-1343
Phone
(919) 894-7570
Fax
(919) 894-4674
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Authorized official

Name
Roy M. Raynor Jr., ODNPI 1396793477
Title
Owner/Optometrist
Phone
(919) 894-7570

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 1

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

Addresses

Primary practice location

113 W Main St
Benson, NC 27504-1343

Mailing address

113 W Main St
Benson, NC 27504-1343
Phone (919) 894-7570

Other practice location 1

124 E Main St
Clinton, NC 28328-4029
Phone (910) 592-1908

Other practice location 2

305 W Roseboro St
Roseboro, NC 28382-8786
Phone (910) 525-5296

Other practice location 3

432 W Broad St
Elizabethtown, NC 28337-9398
Phone (910) 592-1908

Other names 1

  • Professional Eye Care Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161222000421 NC Part B Supplier - Clinic/Group Practice 0547541013 Receives reassigned benefits from 5 practitioners
Practice locations: Benson, NC; Clinton, NC; Elizabethtown, NC; Roseboro, NC

National Provider Directory

National Provider Directory
Tax ID family
Pec Optometry Group PA5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

113 W Main St
Benson, NC 27504
Phone (919) 894-7570

124 E Main St
Clinton, NC 28328
Phone (910) 485-3937

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1356529960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 W MAIN ST",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275041343",
            "telephone_number": "919-894-7570",
            "fax_number": "919-894-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W MAIN ST",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275041343",
            "telephone_number": "919-894-7570",
            "fax_number": "919-894-4674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 E Main St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NC",
            "postal_code": "283284029",
            "country_code": "US",
            "telephone_number": "910-592-1908",
            "fax_number": "910-596-0190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 W Roseboro St",
            "address_purpose": "LOCATION",
            "city": "Roseboro",
            "state": "NC",
            "postal_code": "283828786",
            "country_code": "US",
            "telephone_number": "910-525-5296",
            "fax_number": "910-525-5285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "432 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "283379398",
            "country_code": "US",
            "telephone_number": "910-592-1908",
            "fax_number": "910-596-0190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEC OPTOMETRY GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "RAYNOR",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "919-894-7570",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Eye Care",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Professional Eye Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Benson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.