Ryan Patrick Edmonds, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG002422 Issued in PA

Practice address

623 Swedesford Rd
Frazer, PA 19355-1530

Phone

(610) 644-9300

Fax

(610) 644-5410

NPI assigned

Jul 26, 2010

Last updated

Aug 8, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Pennsylvania College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edmonds and Associates LLCGroup PAC ID 8527243153, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Edmonds & Associates LLC

  • Optometrist
  • Drexel Hill, PA
  • NPI 1285931709
  Medicare reassignment Care Compare group NPD
• Edmonds and Associates

  dba Great Valley Eye Associates

  • Optometrist
  • Drexel Hill, PA
  • NPI 1295828812
  NPD (past)
• Philadelphia Concussion Specialists

  • Clinical Psychologist
  • Drexel Hill, PA
  • NPI 1831732007
  NPD (past)

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1093029522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 528",
            "city": "BETHEL",
            "state": "AK",
            "postal_code": "995590528",
            "telephone_number": "907-543-6336",
            "fax_number": "907-543-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 SWEDESFORD RD",
            "city": "FRAZER",
            "state": "PA",
            "postal_code": "193551530",
            "telephone_number": "610-644-9300",
            "fax_number": "610-644-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "RYAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002422",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "303",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bond Chiropractic Center, PC
• Stephen R Bond, DC
• Kathleen Butler, M.D.
• Audrey Damewood, PT, DPT
• East Whiteland Township
• Jennifer Ann Furcht, D.C.
• Khawaja Saad Haye
• Preetha Kesari, DMD
• Marissa Nicole Kimmel, MSED
• Minaxi Kyada

• Optometrist in Frazer, PA
• Providers in Frazer, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.