Robert Edward Edge, OD is a
Optometrist based in Jackson, Alabama. Robert Edward Edge is licensed to practice in Alabama (license number S412TA033) and his current practice location is
1206 College Ave, Jackson, Alabama. He can be reached at his office (for appointments etc.) via phone at
(251) 246-3231.
NPI number for Robert Edward Edge is 1659374361 and his current mailing address is 2880 Dauphin St, Mobile, Alabama. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659374361.
Healthcare Provider's Profile
Full Name | Robert Edward Edge |
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Gender | Male |
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Speciality | Optometrist |
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Location | 1206 College Ave, Jackson, Alabama |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659374361
- Provider Enumeration Date: 05/27/2005
- Last Update Date: 11/19/2007
Medical Identifiers
Medical identifiers for Robert Edward Edge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659374361 | NPI | - | NPPES |
2210129 | Other | AL | UNITED HEALTHCARE PROV # |
4386054 | Other | AL | AETNA PROVIDER # |
T69193 | Other | AL | HEALTHSPRING PROVIDER # |
51076025 | Other | AL | BLUE CROSS OF AL PROV # |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | S412TA033 (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert Edward Edge is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Robert Edward Edge, OD 2880 Dauphin St, Mobile, AL 36606-2457 Ph: (251) 470-8820 | Robert Edward Edge, OD 1206 College Ave, Jackson, AL 36545-2407 Ph: (251) 246-3231 |
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