Covington Optometric Eye Clinic, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

COVINGTON OPTOMETRIC EYE CLINIC, P.A.

Practice address

310 N Green St
Wadesboro, NC 28170-1609

Phone

(704) 694-6799

Fax

(704) 694-9827

NPI assigned

Apr 16, 2007

Last updated

Jun 24, 2008By 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

Alonzo Hook Covington, O.D.

Title

Owner

Phone

(704) 694-6799

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1609091453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N GREEN ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281701609",
            "telephone_number": "704-694-6799",
            "fax_number": "704-694-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N GREEN ST",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281701609",
            "telephone_number": "704-694-6799",
            "fax_number": "704-694-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINGTON OPTOMETRIC EYE CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "COVINGTON",
        "authorized_official_first_name": "ALONZO",
        "authorized_official_middle_name": "HOOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-694-6799",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890915C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA7791",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.