Active NPI
Stephen P Benkusky, OD
- Optometrist
- Edenton, NC
National Provider Identifier
1467405381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1613
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 100
- Quality
- 62.7
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 42 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care of Edenton, O.D., PLLC | Optometrist | Current | 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
- 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.
-
- Optometrist
- Windsor, NC
- NPI 1669883518
-
- Optometrist
- Plymouth, NC
- NPI 1700833175
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.