Active NPI
David J Edinger, O.D.
- Optometrist
- Panama City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OP 1635
- Practice address
- 2500 Martin Luther King Jr Blvd
Panama City, FL 32405-4412 - Phone
- (850) 784-3937
- Fax
- (850) 522-9829
- NPI assigned
- Jul 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OP 1635 | FL | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | OP 1635 | FL | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | OP 1635 | FL |
Addresses
Primary practice location
2500 Martin Luther King Jr Blvd
Panama City, FL 32405-4412
Mailing address
2500 Martin Luther King Jr Blvd
Panama City, FL 32405-4412
Phone (850) 784-3937
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19182 | Other | FL | BLUE CROSS & BLUE SHIELD |
| 410042390 | Other | FL | RR MEDICARE |
| 078241600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 Martin Luther King Jr Blvd
Panama City, FL 32405-4412
Phone (850) 784-3937
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.67 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 75.56
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP 1635 | FL | MD | Low Vision Rehabilitation Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Center of North Florida, P.a. | Current | Accepting new patients | |
| Eye Center of North Florida, P.a. | Optometrist | Current | Accepting new patients |
| Eye Center of North Florida, P.a. | Optometrist | Current | Accepting new patients |
| Eye Center of North Florida, P.a. | Optometrist | Past | Accepting new patients |
| Eye Center of North Florida, P.a. | Optometrist | Past | Accepting new patients |
Locations
1400 Main St
Chipley, FL 32428
Phone (850) 638-7333
849 Main St
Chipley, FL 32428
Phone (850) 638-7333
2500 Martin Luther King Jr Blvd
Panama City, FL 32405
Phone (850) 522-7951
10900 Hutchison Blvd
Panama City Beach, FL 32407
Phone (850) 234-1829
8019 Front Beach Rd
Panama City Beach, FL 32407
Phone (850) 234-1829
528B 5th St
Port St Joe, FL 32456
Phone (321) 227-7266
Organizations & group practices 5
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.
-
- Optometrist
- Panama City Beach, FL
- NPI 1730284118
-
- Optometrist
- Chipley, FL
- NPI 1194820571
-
- Ambulatory Surgical Clinic/Center
- Panama City, FL
- NPI 1447279369
-
- Optometrist
- Panama City, FL
- NPI 1740213529
-
- Optometrist
- Port St Joe, FL
- NPI 1912002395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426464000000",
"number": "1144245200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 MARTIN LUTHER KING JR BLVD",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054412",
"telephone_number": "850-784-3937",
"fax_number": "850-522-9829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 MARTIN LUTHER KING JR BLVD",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054412",
"telephone_number": "850-784-3937",
"fax_number": "850-522-9829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDINGER",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2015-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OP 1635",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "FL",
"license": "OP 1635",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "FL",
"license": "OP 1635",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "19182",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "410042390",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "078241600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.