Organization
AL H. COVINGTON, OD PA
Active
Parent organization
AL H COVINGTON, OD PA
Other names
Covington Optometric Eye Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
AL H COVINGTON, OD PA
Authorized official
DR. AL H COVINGTON OD (OWNER / DOCTOR)
(704) 694-6799
Entity
Organization
Contact information
Practice address
310 N. GREENE ST., WADESBORO, NC 28170
(704) 694-6799
(704) 694-9827
Mailing address
310 N. GREENE ST., WADESBORO, NC 28170
(704) 694-6799
(704) 694-9827
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890915C
—
NC
01
—
CA7791
RR MEDICARE
NC
Enumeration date
03/27/2012
Last updated
03/27/2012
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