EYE CARE OF EDENTON
NPI 1215156401
Optometrist in Edenton, NC

Active since April 25, 2007CLIA 34D2058350 · Waiver
111 VIRGINIA RD, EDENTON, NC 27932(252) 482-3218(252) 482-8444 Get Directions Write a Review

NPPES record last updated: May 13, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eye Care Of Edenton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYE CARE OF EDENTON (NPI 1215156401) is a healthcare organization registered as an optometrist in Edenton, North Carolina and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through May 5, 2027 and lists Stephen P Benkusky, Owner, as its authorized official.

NPPES Registry Identity

NPI1215156401
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameEYE CARE OF EDENTON, O.D., PLLC
Location Address111 VIRGINIA RDEdenton, NC 27932-1446
Mailing Address111 Virginia RdEdenton, NC 27932-1446 · (252) 482-3218 · Fax (252) 482-8444
Fax(252) 482-8444
Organization SubpartNo
Authorized OfficialStephen P BenkuskyOwner · (252) 482-3218
Enumeration DateApril 25, 2007
Last NPPES UpdateMay 13, 2013
NPI 1215156401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

111 VIRGINIA RD, Edenton, NC 27932

Other Names 1

Doing Business AsEye Care Of Edenton

Other Identifiers 3

Medicare PIN232079NC
Medicare NSC5891780001NC
Medicaid890929NNC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2058350

Eye Care Center Of Edenton, Od, PLLC · Edenton, NC
Active · expires May 5, 2027
CLIA Number34D2058350
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2025
Certificate Expiration DateMay 5, 2027
Laboratory DirectorStephen Benkusky
Laboratory Phone(252) 482-3218
Laboratory LocationEye Care Center Of Edenton, Od, PLLC111 Virginia Road, Edenton, NC 27932
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20564645
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
  • Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215156401, enumerated as an "organization" on April 25, 2007.

The provider is located at 111 VIRGINIA RD EDENTON, NC 27932 and the phone number is (252) 482-3218.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Louisiana, Blue. Please consult your insurance carrier or call the provider to verify.