David S. Edmonds OD PC

Optometrist · Vidalia, GA

Organization Active NPI

NPI number 1215129531

Practice location

3109 E 1st St
Vidalia, GA 30474-8830
Phone
(912) 537-2436
Fax
(912) 537-2659

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NPI record

NPI
1215129531
Entity type
Organization (Type 2)
Enumeration date
August 10, 2007
Last updated
August 4, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X OPT002008 GA
Optometrist 152W00000X 975-OD WV
Optometrist 152W00000X 5027-T1904 OH

Authorized official

Name
Mr. David Scott Edmonds, OD
Title
President
Phone
(912) 537-2436

About David S. Edmonds OD PC

David S. Edmonds OD PC is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 3109 E 1st St, Vidalia, GA 30474-8830. The NPI number 1215129531 was assigned on August 10, 2007 and the record was last updated on August 4, 2015.

David S. Edmonds OD PC lists 3 licenses in the registry: #OPT002008 (GA) for Optometrist; #975-OD (WV) for Optometrist; #5027-T1904 (OH) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mr. David Scott Edmonds, OD, President.

Frequently asked questions

What is the NPI number of David S. Edmonds OD PC?

The NPI number is 1215129531.

What is the phone number of David S. Edmonds OD PC?

The phone number listed for the practice location is (912) 537-2436.

Where is David S. Edmonds OD PC located?

3109 E 1st St, Vidalia, GA 30474-8830.

What is the taxonomy code for David S. Edmonds OD PC?

The primary taxonomy code is 152W00000X – Optometrist; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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