NPIMap

Organization Active NPI

Pec Optometry Group, P.a.

  • Optometrist
  • Benson, NC
National Provider Identifier
1760064398
Registry record updated Apr 23, 2021
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) 894-7579
Fax
(919) 894-4674
NPI assigned
Apr 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Mr. Roy Max Raynor Jr., ODNPI 1396793477
Title
OD/Owner
Phone
(919) 894-7579

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) 894-7579

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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1619136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1760064398",
    "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": "919-894-7579",
            "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": "919-894-7579",
            "fax_number": "919-894-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEC OPTOMETRY GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-23",
        "last_updated": "2021-04-23",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "RAYNOR",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "919-894-7579",
        "authorized_official_name_prefix": "Mr.",
        "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": []
}

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 Apr 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.