Roy Max Raynor Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1198 Issued in NC

Practice address

113 W Main St
Benson, NC 27504-1343

Phone

(919) 894-7570

Fax

(919) 894-4674

NPI assigned

May 4, 2006

Last updated

Oct 12, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pec Optometry Group PAGroup PAC ID 0547541013, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rmr@profeyecare.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pec Optometry Group, P.a.

  • Optometrist
  • Benson, NC
  • NPI 1356529960
  Medicare reassignment Care Compare group NPD Authorized official
• Pec Optometry Group, P.a.

  • Optometrist
  • Roseboro, NC
  • NPI 1114504958
  NPD Authorized official
• Pec Optometry Group, P.a.

  • Optometrist
  • Benson, NC
  • NPI 1760064398
  NPD (past) Authorized official
• Pec Optometry Group, P.a.

  • Optometrist
  • Clinton, NC
  • NPI 1770160517
  NPD (past) Authorized official
• Pec Optometry Group, P.a.

  • Optometrist
  • Elizabethtown, NC
  • NPI 1922685767
  NPD (past) Authorized official

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1396793477",
    "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": "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"
        },
        {
            "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"
        }
    ],
    "basic": {
        "last_name": "RAYNOR",
        "first_name": "ROY",
        "middle_name": "MAX",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09761",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "02478",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April G Pope, PA-C
• Primary Medical Care at the Crossroads, PLLC
• Quest Diagnostics Clinical Laboratories Inc
• R.S. Medical Associates, PA
• Charles Edward Raynor, RPH
• Viswanatha Kurukundha Reddy, M.D.
• Rha Health Services NC, LLC
• Rha Health Services NC, LLC
• Rha Health Services NC, LLC
• Rha Health Services NC, LLC

• Optometrist in Benson, NC
• Providers in Benson, NC by specialty
• Optometrist in North Carolina

• 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; 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.

Verify at the official NPI Registry.