| Eye Care Of Edenton | |
|
111 Virginia Rd, Edenton, NC 27932-1446 | |
| (252) 482-3218 | |
| (252) 482-8444 |
| Full Name | Eye Care Of Edenton |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 111 Virginia Rd, Edenton, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215156401 | NPI | - | NPPES |
| 890929N | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Stephen P Benkusky |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467405381 PECOS PAC ID: 2769574011 Enrollment ID: I20070816000625 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Care Of Edenton 111 Virginia Rd, Edenton, NC 27932-1446 Ph: (252) 482-3218 | Eye Care Of Edenton 111 Virginia Rd, Edenton, NC 27932-1446 Ph: (252) 482-3218 |
Dr. Allen F Downum Jr., O. D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 103 W Eden St, Edenton, NC 27932 Phone: 252-482-3218 Fax: 252-482-8444 | |
Mr. William S Blakemore, MD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 Mark Dr, Edenton, NC 27932 Phone: 252-482-7471 Fax: 252-482-5465 | |
Dr. Stephen P Benkusky, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 103 W Eden St, Edenton, NC 27932 Phone: 252-748-2420 Fax: 252-482-8444 |