George D. Edlund O.D., P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP0002174 Issued in FL

Legal business name

GEORGE D. EDLUND O.D., P.A.

Practice address

50 NE Eglin Parkway
Fort Walton Beach, FL 32548-4957

Phone

(850) 244-5577

Fax

(850) 244-4868

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

George D. Edlund, O.D., P.A.NPI 1316966690

Title

Owner/ President

Phone

(850) 244-5577

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George D. Edlund,, O.D., P.A.

  • Optometrist
  • Fort Walton Beach, FL
  • NPI 1316966690
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1124298401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NE EGLIN PARKWAY",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484957",
            "telephone_number": "850-244-5577",
            "fax_number": "850-244-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NE EGLIN PARKWAY",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484957",
            "telephone_number": "850-244-5577",
            "fax_number": "850-244-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE D. EDLUND O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "EDLUND",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "850-244-5577",
        "authorized_official_credential": "O.D., P.A."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP0002174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amber Lynn Gentry, LMHC
• Erica A. George-Saintilus, MD
• Ciara C George, PA-C
• Daniella George
• Emilee Clair Gerald, MOT
• Leslie Gerdes, MS CF SLP

• Optometrist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.