George D. Edlund,, O.D., P.A.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP0002174 Issued in FL

Practice address

50 NE Eglin Parkway
Fort Walton Beach, FL 32548-4957

Phone

(850) 244-5577

Fax

(850) 244-4868

NPI assigned

Jul 18, 2006

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

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

Specialty

Optometry

Education

Other, 1986

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• George D. Edlund O.D., P.a.

  • Optometrist
  • Fort Walton Beach, FL
  • NPI 1124298401
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1316966690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NE EGLIN PARKWAY",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484957",
            "telephone_number": "850-244-5577",
            "fax_number": "850-244-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NE EGLIN PARKWAY",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484957",
            "telephone_number": "850-244-5577",
            "fax_number": "850-244-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDLUND,",
        "first_name": "GEORGE",
        "middle_name": "D.",
        "credential": "O.D., P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP0002174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toree Easterwood
• Christina Eberle, OT
• Ec Advanced Practice Nursing PLLC (Realm Midlife & Menopause Medicine)
• Ec Therapeutic Services LLC (EC Therapy)
• Eddie a. Negron, M.D., P.a.
• Amanda Edwards
• Eleanor a. McCain, M. D., P. a.
• Farah Sophonie Elifils, OTD, OTR/L
• Maan Elkhatib, MD
• Ellington Eyecare PLLC

• Optometrist in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.