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Raleigh, NC: 919-787-7600

jill.warren@mackowsky.com Email Me


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

Dr. Mackowsky is a certified Fellow in the College of Optometrists in Vision Development (COVD) and a member of the 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 helped to develop The Center for Visual Learning at Doctors Vision Center. In 1997, her article concerning retinal disorders was published in the Southern Journal of Optometry. In October, 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 14 optometrists in NC to have earned this national certification (as of September, 2017). On April 1, 2010, Dr. Mackowsky purchased the center and renamed the practice to The Mackowsky Visual Learning & 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. 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 has been accepted for publication in the June 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 is a recipient of the Doctor Vision Center President's and Optometric Professional Integrity and Excellence awards. Dr. Mackowsky's plans are to advance her research and expand the development of the Clinic's vision rehabilitation program in order to provide her patients with the newest advancements in vision care on the East Coast. Dr. Mackowsky continues to lecture and educate many local groups/hospitals about the specialty of neuro-optometric vision rehabilitation. She resides in Cary with her husband, Dr. Richard Mackowsky, her two lovely children, 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 the Center for Visual Learning and 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 Center for Visual Learning and Rehabilitative Therapy. In October, 2000, he received his national certification as an optometric therapist, joining this elite and prestigious group of dedicated vision therapy professionals. As of January, 2013, there were only six individuals in NC with this special national certification. 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 six-year-old son. Matthew enjoys all sports, movies, Broadway productions and music. He is an “avid” Duke University basketball/football fan!

Marla Ham, B.S., M.Ed, OVT (Testing Coordinator and Optometric Therapist)

Marla earned her B.S. degree in music education from Atlantic Christian College (now known as Barton College) in Wilson, N.C. and her Masters in Music Education from East Carolina University in Greenville, N.C. She taught private piano lessons for fifteen years, served as the Director of Music at several churches in N. C. over twenty-five years and taught public school in Cumberland and Wake Counties. She developed an interest in working with special needs children through her employment with Wake County schools, while working with autistic children. She joined The Mackowsky Visual Learning and Rehabilitation Clinic in May, 2011 as the Testing Coordinator and has since completed her training as an optometric therapist. Marla is married to Rev. Craig Ham, has one daughter, who is a college student at the University of Mount Olive, and has a dachshund, named Dixon. Marla enjoys musical theater, gardening, traveling and church activities.

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.