Active NPI
Lindsey Edmunds, O.D.
- Optometrist
- Fruitland, ID
National Provider Identifier
1134449036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODP100212
- Practice address
- 925 NW 12TH St
Fruitland, ID 83619-5044 - Phone
- (208) 452-2151
- Fax
- (208) 452-6508
- NPI assigned
- Jun 3, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODP100212 | ID | Primary |
Addresses
Primary practice location
925 NW 12TH St
Fruitland, ID 83619-5044
Mailing address
1257 SW 4TH Ave
Ontario, OR 97914-4516
Phone (541) 889-2191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Intermountain Eye and Laser Centers PLLC | Optometrist | Past | Accepting new patients |
| Hollingshead Eye Center, PC | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Glaucoma Specialist (Ophthalmology) Physician
- Eagle, ID
- NPI 1518643923
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1514678400000",
"number": "1134449036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1257 SW 4TH AVE",
"city": "ONTARIO",
"state": "OR",
"postal_code": "979144516",
"telephone_number": "541-889-2191",
"fax_number": "541-881-1523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 NW 12TH ST",
"city": "FRUITLAND",
"state": "ID",
"postal_code": "836195044",
"telephone_number": "208-452-2151",
"fax_number": "208-452-6508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMUNDS",
"first_name": "LINDSEY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-03",
"last_updated": "2017-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "ODP100212",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fruitland, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.