Individual provider Active NPI

Stephen P Benkusky, OD

  • Optometrist
  • Edenton, NC
National Provider Identifier
1467405381
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1613 Issued in NC
Practice address
111 Virginia Rd
Edenton, NC 27932-1446
Phone
(252) 482-3218
Fax
(252) 482-8444
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1613 NC Primary

Addresses

Primary practice location

111 Virginia Rd
Edenton, NC 27932-1446

Mailing address

111 Virginia Rd
Edenton, NC 27932-1446
Phone (252) 482-3218

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070816000625 NC Practitioner - Optometry 2769574011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 Virginia Rd
Edenton, NC 27932-1446
Phone (252) 482-3218

Merit-based Incentive Payment System (MIPS)

Final score
31.35 of 100Reported as individual
Quality
62.7
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care of Edenton, O.D., PLLC Optometrist CurrentSince Apr 20, 2007 Accepting new patients
David Lauren Fitzgerald OD PA Optometrist Past Accepting new patients
David Lauren Fitzgerald OD PA Optometrist Past Accepting new patients

Locations

111 Virginia Rd
Edenton, NC 27932
Phone (252) 482-3218

Interoperability endpoints

  • Direct secure messaging: sbenkusky@eyecarecenter.eyefinity-direct.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1467405381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 VIRGINIA RD",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279321446",
            "telephone_number": "252-482-3218",
            "fax_number": "242-482-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 VIRGINIA RD",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279321446",
            "telephone_number": "252-482-3218",
            "fax_number": "252-482-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENKUSKY",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edenton, NC

Sources for this page

Verify at the official NPI Registry.