Provider Demographics
NPI:1306288683
Name:DONALD B. COVERT, OD
Entity type:Organization
Organization Name:DONALD B. COVERT, OD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:B
Authorized Official - Last Name:COVERT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:336-584-9081
Mailing Address - Street 1:3141 GARDEN RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-9786
Mailing Address - Country:US
Mailing Address - Phone:336-584-9081
Mailing Address - Fax:336-584-9720
Practice Address - Street 1:3141 GARDEN RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-9786
Practice Address - Country:US
Practice Address - Phone:336-584-9081
Practice Address - Fax:336-584-9720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-26
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0900251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8909182Medicaid
NC246209DMedicare UPIN