Active NPI
Covington Optometric Family Eye Care, P.a.
- Optometrist
- Beaufort, NC
National Provider Identifier
1295906329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1245
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09206 | Other | NC | BCBS |
| 8909206 | Medicaid | NC | |
| 09206 | Other | NC | BCBSNC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080429000094 | NC | Part B Supplier - Clinic/Group Practice | 2769560994 |
Receives reassigned benefits from 1 practitioner Practice locations: Beaufort, NC |
National Provider Directory
National Provider DirectoryLocations
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.