NPIMap

Organization Active NPI

Raleigh Eye Center, PA

  • Ophthalmology Physician
  • Raleigh, NC
National Provider Identifier
1902857675
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RALEIGH EYE CENTER, PA
Practice address
3320 Executive Dr
Suite 111
Raleigh, NC 27609-7445
Phone
(919) 876-2427
Fax
(919) 790-8423
NPI assigned
May 15, 2006
Last updated
Feb 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Leslie Arnold
Title
Business Manager
Phone
(919) 876-2427

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Glaucoma Specialist (Ophthalmology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0009X
Cornea and External Diseases Specialist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207WX0120X
Eyewear Supplier 332H00000X

Addresses

Primary practice location

3320 Executive Dr
Suite 111
Raleigh, NC 27609-7445

Mailing address

3320 Executive Dr
Suite 111
Raleigh, NC 27609-7445
Phone (919) 876-2427

Other practice location 1

451 Ruin Creek Rd Ste 204
Henderson, NC 27536-5920
Phone (919) 876-2427

Other practice location 2

12740 Spruce Tree Way Ste 102
Raleigh, NC 27614-8295
Phone (919) 876-2427

Other practice location 3

2406 Blue Ridge Rd Ste 280
Raleigh, NC 27607-6680
Phone (919) 876-2427

Other practice location 4

501 Lombardy St
South Hill, VA 23970-2107
Phone (919) 876-2427

Other practice location 5

730 S Scales St
Reidsville, NC 27320-5335
Phone (919) 876-2427

Other practice location 6

6104 Fayetteville Rd Ste 108
Durham, NC 27713-6283
Phone (919) 876-2427

Other identifiers 2

IdentifierTypeStateIssuer
7902720MedicaidNC
8001998MedicaidNC

Other names 1

  • The Raleigh Eye Center, PA Former legal business name

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20051028000767 NC Part B Supplier - Clinic/Group Practice 7113944125 Receives reassigned benefits from 15 practitioners
Practice locations: Reidsville, NC; Raleigh, NC; Henderson, NC; Durham, NC
O20100930023398 NC DME Supplier - Physician - OphthalmologyDME Supplier - Optician 7113944125 1 other NPI on this enrollment
Practice locations: Raleigh, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
The Raliegh Eye Center PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1011 Wh Smith Blvd
Ste 108
Greenville, NC 27834
Phone (252) 355-7301

451 Ruin Creek Rd
Ste 204
Henderson, NC 27536
Phone (252) 492-8021

4035 Lake Boone Trl
Ste 103
Raleigh, NC 27607
Phone (919) 944-0080

730 S Scales St
Ste F
Reidsville, NC 27320
Phone (336) 342-3354

870 N Mecklenburg Ave
South Hill, VA 23970

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1902857675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 EXECUTIVE DR",
            "address_2": "SUITE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097445",
            "telephone_number": "919-876-2427",
            "fax_number": "919-790-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 EXECUTIVE DR",
            "address_2": "SUITE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097445",
            "telephone_number": "919-876-2427",
            "fax_number": "919-790-8423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "451 Ruin Creek Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NC",
            "postal_code": "275365920",
            "country_code": "US",
            "telephone_number": "919-876-2427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12740 Spruce Tree Way Ste 102",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276148295",
            "country_code": "US",
            "telephone_number": "919-876-2427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2406 Blue Ridge Rd Ste 280",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276076680",
            "country_code": "US",
            "telephone_number": "919-876-2427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Lombardy St",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "239702107",
            "country_code": "US",
            "telephone_number": "919-876-2427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 S Scales St",
            "address_purpose": "LOCATION",
            "city": "Reidsville",
            "state": "NC",
            "postal_code": "273205335",
            "country_code": "US",
            "telephone_number": "919-876-2427",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6104 Fayetteville Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277136283",
            "country_code": "US",
            "telephone_number": "919-876-2427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RALEIGH EYE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "919-876-2427"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7902720",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8001998",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Raleigh Eye Center, PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.