Jeff S Edwards, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2096 Issued in OK

Practice address

806 E Jackson St
Hugo, OK 74743-4222

Phone

(580) 326-3319

Fax

(580) 326-3310

NPI assigned

Sep 22, 2006

Last updated

Apr 14, 2011By 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 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK2 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 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Vision Source of Hugo, Inc.

  • Optometrist
  • Hugo, OK
  • NPI 1134249683

  O20100930062558

  Same enrollment

Specialty

Optometry

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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.

• Vision Source of Hugo, Inc.

  • Optometrist
  • Hugo, OK
  • NPI 1134249683
  Medicare reassignment NPD

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1114027901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 E JACKSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434222",
            "telephone_number": "580-326-3319",
            "fax_number": "580-326-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 E JACKSON ST",
            "city": "HUGO",
            "state": "OK",
            "postal_code": "747434222",
            "telephone_number": "580-326-3319",
            "fax_number": "580-326-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JEFF",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100766690A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00331640",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Dunn, BA
• George Wayne Durrence, MBS, LBP
• Jennifer Dyer
• David Dykeman
• Eaglemed LLC
• Elmbrook of Hugo Operating Co., LLC (Elmbrook of Hugo)
• Express Care Group, LLC
• Family Medical Clinic
• Toni M Figueroa
• Katrina Anne Floyd, LPC UNDER SUP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; 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.