Edwards Eye Care OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2326 Issued in NC

Legal business name

EDWARDS EYE CARE OD PLLC

Practice address

1488 Memorial Dr E
Ahoskie, NC 27910-3926

Phone

(252) 332-5618

Fax

(252) 332-5598

NPI assigned

Aug 18, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew S Edwards, ODNPI 1457787756

Title

Member

Phone

(252) 332-5618

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Scott Edwards, OD

  • Optometrist
  • Ahoskie, NC
  • NPI 1457787756
  Medicare reassignment NPD Authorized official
• Michael Scott Edwards, OD

  • Optometrist
  • Ahoskie, NC
  • NPI 1073615688
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1003361163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 MEMORIAL DR E",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103926",
            "telephone_number": "252-332-5618",
            "fax_number": "252-332-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 MEMORIAL DR E",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103926",
            "telephone_number": "252-332-5618",
            "fax_number": "252-332-5598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS EYE CARE OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "252-332-5618",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457787756",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Coast Medical Transport
• Easter Seals Ucp North Carolina & Virginia, Inc.
• Nancy Carson Eaton, OTR/L
• Eckerd Corporation
• Edwards Developmental Service
• Beverly Edwards Edwards, MD
• Heather Michelle Edwards, PTA
• Matthew Scott Edwards, OD
• Michael Scott Edwards, OD
• Jeremy Dale Efird, PHARMD

• Optometrist in Ahoskie, NC
• Providers in Ahoskie, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.