NPIMap

Organization Active NPI

Edmonds & Associates LLC

  • Optometrist
  • Drexel Hill, PA
National Provider Identifier
1285931709
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EDMONDS & ASSOCIATES LLC
Practice address
3300 Township Line Rd
Suite 101
Drexel Hill, PA 19026-1925
Phone
(610) 449-2540
Fax
(610) 449-2751
NPI assigned
Feb 18, 2011
Last updated
Jan 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Scott Alan Edmonds, O.D.NPI 1245276328
Title
President
Phone
(610) 449-2540

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

3300 Township Line Rd
Suite 101
Drexel Hill, PA 19026-1925

Mailing address

3300 Township Line Rd
Suite 101
Drexel Hill, PA 19026-1925
Phone (610) 449-2540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110426000483 PA Part B Supplier - Clinic/Group Practice 8527243153 Receives reassigned benefits from 8 practitioners
Practice locations: Drexel Hill, PA; Frazer, PA; Horsham, PA; Malvern, PA; Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

3300 Township Line Rd
#101
Drexel Hill, PA 19026
Phone (610) 449-2540

955 Horsham Rd
Ste 301
Horsham, PA 19044
Phone (610) 449-2623

623 Swedesford Rd
Malvern, PA 19355
Phone (610) 644-9300

1015 Chestnut St
Ste 622
Philadelphia, PA 19107
Phone (215) 928-3450

150 S Independence Mall W
Ste 1056
Philadelphia, PA 19106
Phone (215) 928-3450

840 Walnut St
Ste 1010
Philadelphia, PA 19107
Phone (215) 928-3450

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1285931709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 TOWNSHIP LINE RD",
            "address_2": "SUITE 101",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261925",
            "telephone_number": "610-449-2540",
            "fax_number": "610-449-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 TOWNSHIP LINE RD",
            "address_2": "SUITE 101",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261925",
            "telephone_number": "610-449-2540",
            "fax_number": "610-449-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMONDS & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "EDMONDS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-449-2540",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.