Individual provider Active NPI

David J Edinger, O.D.

  • Optometrist
  • Panama City, FL
National Provider Identifier
1144245200
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP 1635 Issued in FL
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

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
19182OtherFLBLUE CROSS & BLUE SHIELD
410042390OtherFLRR MEDICARE
078241600MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100309000674 FL Practitioner - Optometry 6406991827 Reassigns benefits to 1 organization

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 100Reported as group
Quality
100
Improvement activities
40
Cost
75.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP 1635FLMDLow Vision Rehabilitation Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Center of North Florida, P.a. CurrentSince Mar 1, 2000 Accepting new patients
Eye Center of North Florida, P.a. Optometrist CurrentSince Mar 1, 2000 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.

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

Verify at the official NPI Registry.