Healthcare Provider Details

I. General information

NPI: 1174678411
Provider Name (Legal Business Name): CAROLINA EYE ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 CHESTERFIELD HWY
CHERAW SC
29520
US

IV. Provider business mailing address

2170 MIDLAND RD
SOUTHERN PINES NC
28387-2927
US

V. Phone/Fax

Practice location:
  • Phone: 843-537-6962
  • Fax: 843-537-9582
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