Raleigh, NC: 919-787-7600

Email: jill.warren@drmackowsky.com

About us

Dr. Mackowsky’s Clinic is a full scope treatment center dedicated to neuro-optometric vision rehabilitation of patients of all ages. We provide a modern and convenient location for comprehensive eye health and vision care in the Triangle area.

Dr. Mackowsky is a certified Fellow of both the College of Optometrists in Vision Development (COVD) and Neuro-Optometric Rehabilitation Association (NORA). With a highly trained and dedicated staff, we are committed to helping patients with vision problems that go beyond 20/20.

Our Staff:

Nancy M. Mackowsky, O.D., FCOVD, FNORA (Owner/Managing Doctor)


Dr. Nancy Mackowsky completed her undergraduate studies in physiology/neurobiology and graduated magna cum laude from the University of Connecticut. She obtained her Doctorate in Optometry from the Pennsylvania College of Optometry, graduating in the top 10% of her class. She completed an internship at the Pediatric Unit at The Eye Institute in Philadelphia and her residency at Capital Eye Consultants in Fairfax, Virginia.

Training with top experts in the country, Dr. Mackowsky developed a special interest in visual efficiency/perceptual disorders and became dedicated to the advancements in improving these visual skills abilities through integrative training. In November, 1995, she was one of the developers of The Center for Visual Learning at Doctors Vision Center and established a sterling reputation with both the medical and educational communities.

In 1997, her article concerning retinal disorders was published in the Southern Journal of Optometry. In 1998, she completed her written and oral examinations and became a fellow in the prestigious national organization, The College of Optometrists in Vision Development (COVD), one of only fourteen optometrists in NC to have earned this national certification (as of September, 2017). On April 1, 2010, Dr. Mackowsky purchased the Center for Visual Learning and Rehabilitative Therapy from Doctors Vision Center and changed the name to The Mackowsky Visual Learning and Rehabilitation Clinic. In October of 2013, Dr. Mackowsky was elected to serve as secretary of the COVD International Certification and Examination Board after serving 3 years as a board member. In March 2014, Dr. Mackowsky completed her training with Dr. William Padula in order to provide the latest rehabilitation techniques, known as Neuro-Visual Postural Therapy, to her patients.

In November 2014, she was asked by the NC State Optometric Congress to lecture about the field of Neuro-Optometry to over 400 optometrists at the Grove Park Inn, Asheville.  The lecture was a success in educating primary eye care physicians about acquired brain injuries and the common visual deficits associated with these patients.

On September 16, 2017, she completed the process of becoming a fellow in another highly recognized national organization, The Neuro-Optometric Rehabilitation Association, and received her FNORA award at the 26th annual meeting in Buffalo, New York.  At this meeting, Dr. Mackowsky presented her research paper, “The Role of Gait Analysis, Egocenter and Yoked prism in Parkinson’s Disease”.  Her article was accepted for publication in the April 2018 edition of the Optometry & Visual Performance journal.  Other professional activities include being the COVD Membership Keyperson and Practice Enhancement Chairperson.  She has established a sterling reputation with both the medical and educational communities. She has received the Doctor Vision Center President’s and Optometric Professional Integrity and Excellence awards.

Dr. Mackowsky’s plans are to advance her research and development of her clinic’s vision rehabilitation program in order to provide her patients with the newest advancements in vision care. Dr. Mackowsky continues to lecture and educate many area groups/hospitals about the specialty of neuro-optometric vision rehabilitation.  She resides in Cary with her husband, Dr. Rich Mackowsky, her two lovely children, Emma, 18, and Evan, 13, and their beagle, Wilbur.  Dr. Mackowsky enjoys playing golf, snow skiing and scuba diving.

Matthew E. Privette, B.A., COVT (Head Optometric Therapist)

Matthew is a 1994 honors graduate of Louisburg Junior College and a 1996 graduate of the University of North Carolina at Chapel Hill, with a degree in journalism and mass communications. He is a member of Phi Theta Kappa and Delta Psi Omega, and a Brantley Scholarship winner (awarded to the graduating male with the highest scholastic average at Louisburg College). Upon graduating from college, he traveled throughout the United States, singing with Southern Heritage, a Southern Gospel music group. He joined Dr. Mackowsky’s Rehabilitative Therapy team in the summer of 1996 and became the head optometric therapist for the Raleigh office in 2001, as well as the Program Director for the Pinehurst location.

In October, 2000, he received his national certification as an optometric therapist, joining this elite and prestigious group of dedicated vision therapy professionals.  In October, 2010, Matthew was recognized as the National Optometric Therapist of the Year at the annual meeting of the College of Optometrists in Vision Development held in Puerto Rico. Matthew and his wife, Robin, live in Apex and have a ten-year-old son. Matthew enjoys all sports, movies, Broadway productions and music. He is an “avid” Duke University basketball/football fan!

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Pamela P. Zuercher, B.A. (Testing Coordinator)

A native of Charlotte, Pamela attended Queens College (now Queens University of Charlotte) as a Presidential Scholar and a National Merit Scholar. She graduated from the University of North Carolina at Chapel Hill with degrees in Journalism (public relations) and English. She began her career as a copy editor at a Durham newspaper then moved to Wichita, Kansas, when she married Brian, whom she met at UNC-CH. She worked as Public Relations Assistant at the Wichita Art Museum and then Public Relations Manager at the Wichita Symphony until she and her young family moved back to NC, to Cary, for her husband’s legal career. While taking several years off to raise her son Evan and daughter Claire, Pamela volunteered extensively at their schools (PTA President, Vice President, Newsletter Editor, and room mom) and their sports teams. She also volunteered at the family’s church and with the children’s Cub Scout and Girl Scout groups, which led to her next career, once her children were in high school, as a preschool teacher. For seven years she taught 2s and 4s, learning as much from the children as she taught them. It was during this time that she became familiar with The Mackowsky Visual Learning and Rehabilitation Center and decided to make another career change. She has gone through an extensive training program under the supervision of Dr. Mackowsky to become the clinic’s new Testing Coordinator in September, 2018.  In her free time, Pamela enjoys reading with her two book clubs, walking with friends, water aerobics in the summer, attending live theater and concerts, and traveling with her family.

Jill B. Warren, B.S. (Office Manager)

Jill earned her B.S. degree in business administration, with a concentration in marketing, from the University of North Carolina at Greensboro. She has worked as an office manager and as an executive assistant for eleven years. She is a NC licensed underwriter and has worked for five years as a title insurance underwriter, specializing in residential and commercial properties. She has also worked as an educator in the Wake County and Chapel Hill/Carrboro School Systems.

Jill is married to Rev. Ray Warren, and has 2 sons, Evan and Grant, and a miniature dachshund named Daisy. She enjoys cooking, gardening, music and travel, as well as church and family activities.