Keitha Ann Covalla, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1829 Issued in NC

Practice address

2001 S Glenburnie Rd
New Bern, NC 28562-5228

Phone

(252) 633-6900

Fax

(252) 633-6754

NPI assigned

Jun 15, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Michigan Medical School, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lane Optometry PLLCGroup PAC ID 7517100647, 5 clinicians

C and S Optometric Services PLLCGroup PAC ID 1153363254, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

77.83 of 100Reported as group

Quality

55.66

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

91.99 of 100Reported as group

Quality

92

Improvement activities

40

Cost

83.95

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kcovalla@direct.eyecare-partners.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• C & S Optometric Services, PLLC

  • Optometrist
  • New Bern, NC
  • NPI 1336280544

  NC, Optometrist

  Medicare reassignment Care Compare group NPD
• Lane Optometry, PLLC

  • Optometrist
  • Jacksonville, NC
  • NPI 1356628283

  NC, Optometrist

  Medicare reassignment Care Compare group NPD
• Singleton Vision Center

  • Ophthalmology Physician
  • New Bern, NC
  • NPI 1407830540

  NC

  Medicare reassignment NPD
• C & S Optometric Services PLLC

  • Optometrist
  • Alliance, NC
  • NPI 1164563938
  NPD
• C & S Optometric Services PLLC

  • Optometrist
  • New Bern, NC
  • NPI 1619661600
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1124023221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S GLENBURNIE RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625228",
            "telephone_number": "252-633-6900",
            "fax_number": "252-633-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S GLENBURNIE RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625228",
            "telephone_number": "252-633-6900",
            "fax_number": "252-633-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVALLA",
        "first_name": "KEITHA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC PIN",
            "identifier": "093HK",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89093HK",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Deondray Courman
• Laquita Lashall Courman
• Courtyards of Magnolia, LLC
• Courtyards of New Bern, LLC
• Courtyards of New Bern, LLC
• Stephonie Deonne Coward-Leary, LCSWA
• Sarah Coward, PT
• Lauren Cowell, ACNP
• Megan Cowell
• Kayla Cowley, MSW, LCSWA

• Optometrist in New Bern, NC
• Providers in New Bern, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.