| David S. Edmonds Od Pc | |
|
3109 E 1st St, Vidalia, GA 30474-8830 | |
| (912) 537-2436 | |
| (912) 537-2659 |
| Full Name | David S. Edmonds Od Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3109 E 1st St, Vidalia, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215129531 | NPI | - | NPPES |
| 496302301A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT002008 (Georgia) | Primary |
| 152W00000X | Optometrist | 975-OD (West Virginia) | Secondary |
| 152W00000X | Optometrist | 5027-T1904 (Ohio) | Secondary |
| Provider Name | David S Edmonds |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235240177 PECOS PAC ID: 8123010469 Enrollment ID: I20051208000130 |
| Mailing Address | Practice Location Address |
|---|---|
| David S. Edmonds Od Pc 3109 E 1st St, Vidalia, GA 30474-8830 Ph: (912) 537-2436 | David S. Edmonds Od Pc 3109 E 1st St, Vidalia, GA 30474-8830 Ph: (912) 537-2436 |
Optometry Associates, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 300 Durden St, Vidalia, GA 30474 Phone: 912-537-4447 Fax: 912-537-2743 | |
Lyn Brown Oxley, OD Optometrist Medicare: Medicare Enrolled Practice Location: 104 Andrew St Ste 112, Vidalia, GA 30474 Phone: 912-537-4447 Fax: 912-537-2743 | |
Georgia Eye Institute Of The Southeast, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 104 Andrews Street, Suite 112, Vidalia, GA 30474 Phone: 912-537-4447 Fax: 912-537-2743 | |
Vidalia Eyecare Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 206 Maple Dr, Vidalia, GA 30474 Phone: 912-537-2020 Fax: 912-537-7935 | |
Dr. Ronald B. Yancey, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 303 Harris Industrial Blvd., Suite 7, Vidalia, GA 30474 Phone: 912-537-4400 | |
Dr. David S. Edmonds, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3109 E 1st St, Vidalia, GA 30474 Phone: 912-537-2436 Fax: 912-537-2659 |