Covenant Eye Care, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

79553 Issued in NC

Legal business name

COVENANT EYE CARE, PA

Practice address

2555 Court Drive
Suite 150
Gastonia, NC 28054-2187

Phone

(704) 864-7789

Fax

(704) 864-4884

NPI assigned

Apr 18, 2006

Organization subpart

No

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

Authorized official

Name

Bryan Ewing Allf, MD

Title

President

Phone

(704) 864-7789

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Interoperability endpoints

• Direct secure messaging: ballf@carolinaeyes.intellechartdirect.net
• Direct secure messaging: rakers@carolinaeyes.intellechartdirect.net

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553212800000",
    "number": "1477518066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 COURT DRIVE",
            "address_2": "SUITE 150",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542187",
            "telephone_number": "704-864-7789",
            "fax_number": "704-864-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 COURT DRIVE",
            "address_2": "SUITE 150",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542187",
            "telephone_number": "704-864-7789",
            "fax_number": "704-864-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVENANT EYE CARE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2019-03-22",
        "status": "A",
        "authorized_official_last_name": "ALLF",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "EWING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-864-7789",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "79553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0265Y",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890265Y",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Courson, CRNA
• Courtney Cooper DDS, PLLC
• Courtview OB/GYN Associates, PA
• Krysta Danielle Cousino
• Mark Moscoe Couture, M.D.
• Covenant Village
• Jennifer Covington, MSW, LCSWA
• Lauren Jane Cownie, SLP
• Cox Road Urgent Care
• Rachel Lamb Cox, PA-C

• Ophthalmology Physician in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.