Michael Scott Edwards, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

964 Issued in NC

Practice address

1488 Memorial Dr E
Ahoskie, NC 27910-3926

Phone

(252) 332-5618

Fax

(252) 332-5598

NPI assigned

Sep 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

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.

• Edwards Eye Care OD PLLC

  • Optometrist
  • Ahoskie, NC
  • NPI 1003361163
  Medicare reassignment NPD

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454630400000",
    "number": "1073615688",
    "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": {
        "last_name": "EDWARDS",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2016-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "246298A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER INSURANCES",
            "identifier": "561336423",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909249",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edwards Developmental Service
• Edwards Eye Care OD PLLC
• Beverly Edwards Edwards, MD
• Heather Michelle Edwards, PTA
• Matthew Scott Edwards, OD
• Jeremy Dale Efird, PHARMD
• Katina Eley-Hardy, PAC
• Elite Family Healthcare
• Elitex Staffing Solutions, LLC
• Brandon Elvis, CRNA

• 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 Feb 5, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.