Covington Optometric Eye Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

License

1588 Issued in SC

Legal business name

COVINGTON OPTOMETRIC EYE CLINIC

Practice address

703 Market St
Cheraw, SC 29520-2658

Phone

(843) 537-3641

Fax

(843) 537-3646

NPI assigned

Apr 21, 2010

Last updated

May 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abbie C Prevatt

Title

Practice Consultant

Phone

(843) 537-3641

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alonzo Hook Covington, O.D.

  • Optometrist
  • Rockingham, NC
  • NPI 1861472334

  SC

  Medicare reassignment NPD

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1356668032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 MARKET ST",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295202658",
            "telephone_number": "843-537-3641",
            "fax_number": "843-537-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MARKET ST",
            "city": "CHERAW",
            "state": "SC",
            "postal_code": "295202658",
            "telephone_number": "843-537-3641",
            "fax_number": "843-537-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINGTON OPTOMETRIC EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-21",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "PREVATT",
        "authorized_official_first_name": "ABBIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRACTICE CONSULTANT",
        "authorized_official_telephone_number": "843-537-3641"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Qasim Shehzad Choudhry, DO
• Community Spoon Home Meals
• Condon Med Services of Cheraw
• Foy Douglas Connell, M.D.
• Holly Byrd Copeland, FNP
• Lisa Crawford, RPH
• Evelyn Cruz
• Douglas Eli Cunningham, DPM
• Gloria Curtis
• Taylor Curtis

• Optometrist in Cheraw, SC
• Providers in Cheraw, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; 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.