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DAVID S. EDMONDS OD PC NPI 1215129531


NPI Information

NPI: 1215129531
Provider Name: DAVID S. EDMONDS OD PC
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
3109 E 1ST ST
VIDALIA, GA
ZIP 30474
Phone: (912) 537-2436
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DAVID S. EDMONDS OD PC is an optometrist in Vidalia, GA. The provider is 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. DAVID S. EDMONDS OD PC NPI is 1215129531. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3109 E 1ST ST
VIDALIA, GA
ZIP 30474-830
Phone: (912) 537-2436
Fax: (912) 537-2659

The provider's authorized official is David Scott Edmonds .
The authorized official title is President and has the following contact phone number (912) 537-2436.

The enumeration date for this NPI number is 8/10/2007 and was last updated on 8/4/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist975-ODWEST VIRGINIANo
2152W00000XOptometrist5027-T1904OHIONo
3152W00000XOptometristOPT002008GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1511G700517MEDICARE PINGEORGIA
2496302301AMEDICAIDGEORGIA
3U79324MEDICARE UPINGEORGIA
441ZCFZBMEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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