MEDICARE: CAROLINA EYE ASSOCIATES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CL9157	OTHER	NC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01199	OTHER	NC	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649349291
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINA EYE ASSOCIATES INC

Provider Business Mailing Address
First Line	:	2170 MIDLAND RD
Second Line	:
City	:	SOUTHERN PINES
State	:	NC
Zip	:	28387-2927
Country	:	US
Telephone Number	:	910-295-2100
Fax Number	:	910-295-3625

Provider Business Practice Location Address
First Line	:	923 N 2ND ST STE 201
Second Line	:
City	:	ALBEMARLE
State	:	NC
Zip	:	28001-3370
Country	:	US
Telephone Number	:	704-982-1000
Fax Number	:	704-985-1112

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	TJ MCCASKILL
Credential	:
Telephone Number	:	910-295-2100

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	10/30/2025

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Directions to “CAROLINA EYE ASSOCIATES INC ” Practice Location

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