Individual provider Active NPI

Edward McDonald, O.D.

  • Optometrist
  • Saint Clairsville, OH
National Provider Identifier
1043252893
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5915 Issued in OH
Practice address
156 Woodrow Ave
Saint Clairsville, OH 43950-1187
Phone
(740) 695-2860
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 988-OD WV
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5915 OH Primary

Addresses

Primary practice location

156 Woodrow Ave
Saint Clairsville, OH 43950-1187

Mailing address

156 Woodrow Ave
Saint Clairsville, OH 43950-1187
Phone (740) 695-2860

Other practice location 1

12 Wheeling Ave
Glen Dale, WV 26038-1529
Phone (304) 843-1445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH, AL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060717000270 WV Practitioner - Optometry 6002829041 Reassigns benefits to 2 organizations
I20100702000210 OH Practitioner - Optometry 6002829041 Reassigns benefits to 1 organization
I20250625001450 AL Practitioner - Optometry 6002829041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
360Care Services of Al LLCGroup PAC ID 7719240977, 29 clinicians

Practice addresses (Care Compare)

150 S Perry St
Montgomery, AL 36104-4227
Phone (248) 528-2116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5915OHMDClinical Child & Adolescent Psychologist
988-ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ocucare Ophthalmic Services, PLLC Optometrist CurrentSince Aug 26, 2019 Accepting new patients
360Care Services of Al LLC Optometrist CurrentSince May 16, 2025 Accepting new patients
Raymond a Bannan, MD LLC Optometrist CurrentSince May 1, 2021 Accepting new patients
Mobile Medical, Inc. Single Specialty Past Accepting new patients
West Virginia University Medical Corporation Past Accepting new patients
M F Anwar MD Inc Optometrist Past Accepting new patients
The Seeing Hand Association, Inc. Single Specialty Past Accepting new patients

Locations

150 S Perry St
Montgomery, AL 36104
Phone (225) 270-1012

523 Gandy St NE
Ste A
Russellville, AL 35653
Phone (205) 208-9955

11 Bell Rd
Selma, AL 36701
Phone (334) 874-7425

4350 Brownsboro Rd
Ste 210
Louisville, KY 40207
Phone (830) 212-1661

4350 Brownsboro Rd
Ste 200
Louisville, KY 40207
Phone (513) 771-7483

3372 Belmont St
Bellaire, OH 43906
Phone (740) 676-1051

156 Woodrow Ave
Ste 2B
Saint Clairsville, OH 43950
Phone (740) 695-2860

156 Woodrow Ave
Saint Clairsville, OH 43950
Phone (740) 526-0577

200 Teletech Dr
Ste B
Moundsville, WV 26041
Phone (304) 830-6206

300 Wharton Cir
Ste 120
Triadelphia, WV 26059
Phone (304) 217-3503

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1043252893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 WOODROW AVE",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501187",
            "telephone_number": "740-695-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 WOODROW AVE",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501187",
            "telephone_number": "740-695-2860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Wheeling Ave",
            "address_purpose": "LOCATION",
            "city": "Glen Dale",
            "state": "WV",
            "postal_code": "260381529",
            "country_code": "US",
            "telephone_number": "304-843-1445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "EDWARD",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "988-OD",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

Verify at the official NPI Registry.