DR. DAREL C EDWARDS OD NPI 1639162175

NPI Information

  • NPI: 1639162175
  • Provider Name: DR. DAREL C EDWARDS, OD
  • Classification: Optometrist - 152WC0802X
  • Specialization: Corneal and Contact Management
  • Entity Type: Individual
  • Address: 206 MAPLE DR
    VIDALIA, GA
    ZIP 30474
  • Phone: (912) 537-3004

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NPI Details

DR. Darel C Edwards, OD is a corneal and contact management optometrist in Vidalia, GA. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. DR. Darel C Edwards, OD NPI is 1639162175. 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:

206 MAPLE DR
VIDALIA, GA
ZIP 30474-907
Phone: (912) 537-3004
Fax: (912) 537-7935

The enumeration date for this NPI number is 8/30/2005 and was last updated on 5/25/2012.

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
1152WC0802XOptometristCorneal and Contact ManagementOPT001223GEORGIAYes

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
1OPT001223OTHERGEORGIASTATE LICENSE
200423893GMEDICAIDGEORGIA
3U05461MEDICARE UPINGEORGIA
441ZCDQLMEDICARE PIN

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: 11/21/2025

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