Brendan Tyler Edmonds, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005963 Issued in MI

Practice address

1063 S State Rd Ste 3
Davison, MI 48423-1900

Phone

(810) 658-2020

NPI assigned

May 9, 2026

Last updated

Jul 8, 2026By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Optometry

Education

Ferris State College - College of Optometry, 2026

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Pco PC

  dba Burton Vision Center

  • Optometrist
  • Davison, MI
  • NPI 1114082047
  NPD
• James H English OD PC

  • Optometrist
  • Swartz Creek, MI
  • NPI 1447413489
  NPD (past)

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

{
    "created_epoch": "1778284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1205764438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9345 TIGER RUN TRL",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484238430",
            "telephone_number": "810-449-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 S STATE RD STE 3",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231900",
            "telephone_number": "810-658-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8129 Miller Rd",
            "address_purpose": "LOCATION",
            "city": "Swartz Creek",
            "state": "MI",
            "postal_code": "484731335",
            "country_code": "US",
            "telephone_number": "810-635-8191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "BRENDAN",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-09",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine K Dube
• Suzanne Dubois
• Angela Dunscombe
• Stanley L. Eden, PSY.D.
• Jonathan Ralph Edgette, FNP-C
• Effort and Ease Integrative Mental Health LLC
• Kevin Russell Eikey, PT
• Arwa El Rifai, M.D.
• Jonathan Elin-Calcador, OD
• Christopher Elliot, FNP-BC

• Optometrist in Davison, MI
• Providers in Davison, MI by specialty
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.