John E Raynor (NPI# 1972617272, PAC ID# 7810086147) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1972617272 |
| PAC ID by PECOS | 7810086147 |
| Professional Enrollment ID | I20071210000060 |
| Full Name | John E Raynor |
| Organization Legal Name | PROFESSIONAL EYECARE OPTOMETRY PA |
| Address |
3551 Dunn Rd Suite 103 Eastover NC 28312-9417 |
| Phone Number | 9107038240 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1993 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 9537258868 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3551 Dunn Rd, Suite 103, Eastover, NC 28312-9417 | 9107038240 | PROFESSIONAL EYECARE OPTOMETRY PA |
| 3701 S Main St, Hope Mills, NC 28348-1958 | 9104230700 | PROFESSIONAL EYECARE OPTOMETRY PA |
| Organization Legal Name | PROFESSIONAL EYECARE OPTOMETRY PA |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph Marshall Ballard | Optometry | Professional Eyecare Optometry Pa | 3701 S Main St, Hope Mills, NC 28348-1958 |
| Mary A Masters | Optometry | Professional Eyecare Optometry Pa | 3701 S Main St, Hope Mills, NC 28348-1958 |
| Robert Naylor | Optometry | Professional Eyecare Optometry Pa | 3701 S Main St, Hope Mills, NC 28348-1958 |
| Alan R Price | Optometry | Professional Eyecare Optometry Pa | 3701 S Main St, Hope Mills, NC 28348-1958 |
| Street Address |
3551 DUNN RD SUITE 103 |
| City | EASTOVER |
| State | NC |
| Zip | 28312-9417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret S Lewis | Nurse Practitioner | Eastover Family Care PC | 3551 Dunn Rd, Suite 101, Eastover, NC 28312-9417 |
| Susan C Anderson | Physician Assistant | Eastover Family Care PC | 3551 Dunn Rd, Suite 101, Eastover, NC 28312-9417 |
| Sharon A Belflowers | Physician Assistant | Eastover Family Care PC | 3551 Dunn Rd, Suite 101, Eastover, NC 28312-9417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mohamad A Shakir | Family Medicine | 124 Baywood Rd, Suite 111, Fayetteville, NC 28312-9136 |
| City | EASTOVER |
| Zip Code | 28312 |
| Specialty | OPTOMETRY |
| City + Specialty | EASTOVER + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.