Organization Active NPI

Covington Optometric Family Eye Care, P.a.

  • Optometrist
  • Beaufort, NC
National Provider Identifier
1295906329
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1245 Issued in NC
Legal business name
COVINGTON OPTOMETRIC FAMILY EYE CARE, P.A.
Practice address
1620 Live Oak St Ste a
Beaufort, NC 28516-1582
Phone
(252) 728-6611
Fax
(252) 728-6038
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Authorized official

Name
Dr. Frank Edward Covington, O.D.NPI 1497851091
Title
President
Phone
(252) 728-6611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1245 NC Primary

Addresses

Primary practice location

1620 Live Oak St Ste a
Beaufort, NC 28516-1582

Mailing address

1620 Live Oak St Ste a
Beaufort, NC 28516-1582
Phone (252) 728-6611

Other identifiers 3

IdentifierTypeStateIssuer
09206OtherNCBCBS
8909206MedicaidNC
09206OtherNCBCBSNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080429000094 NC Part B Supplier - Clinic/Group Practice 2769560994 Receives reassigned benefits from 1 practitioner
Practice locations: Beaufort, NC

National Provider Directory

National Provider Directory

Locations

1620 Live Oak St
Ste A
Beaufort, NC 28516
Phone (252) 728-6611

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1295906329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 LIVE OAK ST STE A",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285161582",
            "telephone_number": "252-728-6611",
            "fax_number": "252-728-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 LIVE OAK ST STE A",
            "city": "BEAUFORT",
            "state": "NC",
            "postal_code": "285161582",
            "telephone_number": "252-728-6611",
            "fax_number": "252-728-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINGTON OPTOMETRIC FAMILY EYE CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "COVINGTON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-728-6611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09206",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909206",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "09206",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.