Provider Demographics
NPI:1861472334
Name:COVINGTON, ALONZO HOOK (OD)
Entity Type:Individual
Prefix:
First Name:ALONZO
Middle Name:HOOK
Last Name:COVINGTON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:AL
Other - Middle Name:H
Other - Last Name:COVINGTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:2170 MIDLAND RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-2927
Mailing Address - Country:US
Mailing Address - Phone:910-295-2100
Mailing Address - Fax:910-295-3625
Practice Address - Street 1:101 MEDICAL CIR
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-5221
Practice Address - Country:US
Practice Address - Phone:910-997-4489
Practice Address - Fax:910-895-7453
Is Sole Proprietor?:No
Enumeration Date:2006-01-19
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1099152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC246419AMedicaid
NC246280AMedicare ID - Type Unspecified
SCAA57619606Medicare PIN
NC246419AMedicaid