Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Waynesborough Ophthalmology, PA

Organization Optometrist · NPI 1124083167

Waynesborough Ophthalmology, PA is an Optometrist in Goldsboro, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

103 Cox Blvd
Goldsboro, NC 27534-9478
Phone: (919) 734-8440
Fax: (919) 734-9387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 25961 (NC)
Optometrist Taxonomy 152W00000X · Licence 1019 (NC)

Record details

NPI number1124083167
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Jordan — President · (919) 734-8440
NPI enumeratedApril 20, 2006
Last updated in NPPESMay 2, 2023
Certification dateMay 2, 2023
Mailing address103 Cox Blvd, Goldsboro, NC 27534-9478

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