Healthcare Provider Details

I. General information

NPI: 1023551868
Provider Name (Legal Business Name): CAROLINA EYE ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2016
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MEDICAL CIR
ROCKINGHAM NC
28379-5221
US

IV. Provider business mailing address

2170 MIDLAND RD
SOUTHERN PINES NC
28387-2927
US

V. Phone/Fax

Practice location:
  • Phone: 910-997-4489
  • Fax: 910-895-7453
Mailing address:
  • Phone: 910-295-2100
  • Fax: 910-295-3625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: TJ MCCASKILL
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 910-295-2100