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Southern Eye Care, O.D., PLLC

NPI 1760886279ActiveOrganization· Optometrist· Wake Forest, NC

Optometrist in Wake Forest, North Carolina, registered in NPPES in October 2014. The authorized official on file is Kris Janik Roy, D.O., Managing Member. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1760886279
StatusActive
Entity typeOrganization
NPI issuedOct 13, 2014
Last updated in NPPESOct 13, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X1649NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (NC)

Medicare sources and data years

Other Optometrist providers in Wake Forest

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