Provider Type Icon

DR. FREDERICK ROLLAND EDMUNDS O.D. NPI 1104991660


NPI Information

NPI: 1104991660
Provider Name: DR. FREDERICK ROLLAND EDMUNDS, O.D.
Classification: Optometrist - 152WS0006X
Entity Type: Individual

Specialization: Sports Vision

PECOS Registration: Yes

Address:
274 W MAIN ST
VICTOR, NY
ZIP 14564
Phone: (585) 880-4818
Get Directions

DR. Frederick Rolland Edmunds, O.D. is a sports vision optometrist in Victor, NY. The provider is an optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the prevention of sports-related injuries; vision enhancement - which may include vision therapy and techniques to improve visual skills specific to the athlete's sport. DR. Frederick Rolland Edmunds, O.D. NPI is 1104991660. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

274 W MAIN ST
VICTOR, NY
ZIP 14564-157
Phone: (585) 880-4818

The NPI 1104991660 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 7/6/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist4397NEW YORKNo
2152W00000XOptometristT004397-1NEW YORKNo
3152WC0802XOptometristCorneal and Contact ManagementT004397-1NEW YORKNo
4152WV0400XOptometristVision TherapyT004397-1NEW YORKNo
5152WS0006XOptometristSports VisionT004397-1NEW YORKYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.