Provider Demographics
NPI:1497851091
Name:COVINGTON, FRANK EDWARD (OD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:EDWARD
Last Name:COVINGTON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 LIVE OAK ST STE A
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:NC
Mailing Address - Zip Code:28516-1582
Mailing Address - Country:US
Mailing Address - Phone:252-728-6611
Mailing Address - Fax:252-728-6038
Practice Address - Street 1:1620 LIVE OAK ST STE A
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:NC
Practice Address - Zip Code:28516-1582
Practice Address - Country:US
Practice Address - Phone:252-728-6611
Practice Address - Fax:252-728-6038
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2008-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1245152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8909206Medicaid
NC09206OtherBCBS
NCT65064Medicare UPIN
NC8909206Medicaid
NC0319210001Medicare NSC