Andrew S Edwards MD PC
Organization Active NPI Ophthalmology Physician · Walla Walla, WA
NPI 1083076624 · NPPES record last updated Jul 2, 2026
Key facts
- NPI
- 1083076624
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- MD60142403 (WA)
- Legal business name
- ANDREW S EDWARDS MD PC
- Practice address
- 299 W Tietan St
Walla Walla, WA 99362-4363 - Phone
- (509) 525-2100
- Fax
- (509) 522-0313
- NPI assigned
- Mar 23, 2016
- Organization subpart
- No
Authorized official
- Name
- Becky Ann Hernandez
- Title
- Office Manager
- Phone
- (509) 525-2100
Practitioners 6
-
Andrew S Edwards, MD
-
David Alan Lewis, MD
-
Daniel W Hanson, MD
-
S. Scott Smith I, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160706001151 | WA | Part B Supplier - Clinic/Group Practice | 9830488758 |
Receives reassigned benefits from 4 practitioners Practice locations: Walla Walla, WA |
| O20170110001211 | WA | DME Supplier - Physician - Ophthalmology | 9830488758 | Practice locations: Walla Walla, WA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | MD60142403 | WA | Yes |
Addresses
Primary practice location
299 W Tietan St
Walla Walla, WA 99362-4363
Mailing address
299 W Tietan St
Walla Walla, WA 99362-4363
Phone (509) 525-2100
Other names
- WALLA WALLA EYE CENTER
Other providers in Walla Walla, WA
- Anchor Point Counseling PLLC
- Alisha Andersen
- Alessa Anderson
- Amanda Anderson
- Amy Elizabeth Anderson
- Kevin R Andrews
- Jimmye Dell Angell-Erickson
- Antonio D. Caso, D.D.S., P.S.
- Snejana Apley
- Rainee Ann Arevalo
All providers in Walla Walla, WA · Ophthalmology Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.