Provider Demographics
NPI:1114504958
Name:PEC OPTOMETRY GROUP, P.A.
Entity Type:Organization
Organization Name:PEC OPTOMETRY GROUP, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OD/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:MAX
Authorized Official - Last Name:RAYNOR
Authorized Official - Suffix:JR
Authorized Official - Credentials:OD
Authorized Official - Phone:919-894-7579
Mailing Address - Street 1:113 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:NC
Mailing Address - Zip Code:27504-1343
Mailing Address - Country:US
Mailing Address - Phone:919-894-7579
Mailing Address - Fax:919-894-4674
Practice Address - Street 1:305 W ROSEBORO ST
Practice Address - Street 2:
Practice Address - City:ROSEBORO
Practice Address - State:NC
Practice Address - Zip Code:28382-8786
Practice Address - Country:US
Practice Address - Phone:910-525-5296
Practice Address - Fax:910-525-5285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-26
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty