Chad J Edwards, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2300 Issued in OK

Practice address

12455 E 100TH St N # 110
Owasso, OK 74055-4600

Phone

(918) 274-7100

Fax

(918) 584-4479

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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 1

Specialty

Optometry

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Owasso Eye Institute IncGroup PAC ID 7719082643, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Owasso Eye Institute Inc

  • Optometrist
  • Owasso, OK
  • NPI 1972639722
  Medicare reassignment Care Compare group NPD
• DRS. Hinkle & Cash Opt,, Inc.

  • Optometrist
  • Owasso, OK
  • NPI 1235263799
  NPD (past)
• Marc a Goldberg MD PC

  • Eyewear Supplier
  • Tulsa, OK
  • NPI 1174836241
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1063436079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12455 E 100TH ST N # 110",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554600",
            "telephone_number": "918-274-7100",
            "fax_number": "918-584-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12455 E 100TH ST N # 110",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740554600",
            "telephone_number": "918-274-7100",
            "fax_number": "918-584-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CHAD",
        "middle_name": "J",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100763950A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia R Easlon, PHARM D
• Patrick Easterling
• Breece Michael Eberley, M.D.
• Ecclesia Counseling Services LLC
• Travis Colton Eden, RDN
• Tera Marchelle Egleston, D.C.
• Elizabeth Anne Eipp, RDN, LD
• Elevate Med Wellness PLLC
• Melissa Anne Ellingson, MSN, PNP
• Tyler Gregory Ellington, DO

• Optometrist in Owasso, OK
• Providers in Owasso, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.