Covenant Eye Care, Pa

LBN: Covenant Eye Care, Pa
Covenant Eye Care, Pa is an health care organization with primary practice located at 2555 Court Drive Suite 150, Gastonia NC 28054-2187. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Covenant Eye Care, Pa can be contacted via phone (704) 864-7789, or through Allf, Bryan Ewing via phone (704) 864-7789.

Contact Information

Primary practice address
2555 Court Drive Suite 150 Gastonia NC 28054-2187
Phone: (704) 864-7789
Fax: (704) 864-4884
Website:
Map and Directions
Authorized official contact:
Name: Allf, Bryan Ewing Doctor of Medicine (MD)
Phone: (704) 864-7789

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 79553 North Carolina

Profile Details

NPI number 1477518066
LBN Legal business name Covenant Eye Care, Pa
DBA Doing business as
Authorized official Allf, Bryan Ewing Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2006
Last updated Mar 22nd, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477518066 NPPES
North Carolina Other 0265Y BCBS
North Carolina MEDICAID 890265Y BCBS

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