1. Home
  2. Directory
  3. North Carolina
  4. Edenton
  5. Optometrist
  6. NPI Profile

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: October 18, 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
Phone(252) 482-3218
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
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of NC, Blue Cross Blue Shield of Wyoming and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eye Care Of Edenton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eye Care Of Edenton, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stephen Benkusky, OD
Optometry
NPI 1467405381
111 VIRGINIA RD
Edenton, NC 27932
(252) 482-3218
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Eye Care Of Edenton Od PLLC carries, from the Medicare DMEPOS supplier directory.

Eye Care Of Edenton Od PLLC

DMEPOS supplier · Edenton, NC
✔

Accepts Medicare assignment

Eye Care Of Edenton Od PLLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20564645
Medicare Participant SinceAugust 3, 2007
Supplier Location111 Virginia RdEdenton, NC 27932
Phone(252) 482-3218
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eye Care Of Edenton, O.D., PLLC's NPI number?

The NPI number for Eye Care Of Edenton, O.D., PLLC is 1215156401. It was assigned to this organization in the NPPES registry on April 25, 2007. The provider is doing business as Eye Care Of Edenton.

Where is Eye Care Of Edenton, O.D., PLLC located?

Eye Care Of Edenton, O.D., PLLC is located at 111 Virginia Rd, Edenton, NC 27932. The listed phone number is (252) 482-3218.

What is Eye Care Of Edenton, O.D., PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Eye Care Of Edenton, O.D., PLLC enrolled in Medicare?

Yes. Eye Care Of Edenton, O.D., PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eye Care Of Edenton, O.D., PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Eye Care Of Edenton, O.D., PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Eye Care Of Edenton, O.D., PLLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Eye Care Of Edenton Od PLLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Eye Care Of Edenton, O.D., PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2058350) is associated with this NPI, valid through May 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eye Care Of Edenton, O.D., PLLC accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Eye Care Of Edenton, O.D., PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eye Care Of Edenton, O.D., PLLC was last updated on May 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.