Active NPI
Steven Charles Edmonds
- Optician
- Athens, OH
National Provider Identifier
1336918036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- OP.017679-S
- Practice address
- 929 E State St
Athens, OH 45701-2117 - Phone
- (740) 594-3718
- Fax
- (740) 594-3469
- NPI assigned
- Dec 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | OP.017679-S | OH | Primary |
Addresses
Primary practice location
929 E State St
Athens, OH 45701-2117
Mailing address
929 E State St
Athens, OH 45701-2117
Phone (740) 594-3718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP.017679-S | OH | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1336918036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 E STATE ST",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012117",
"telephone_number": "740-594-3718",
"fax_number": "740-594-3469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 E STATE ST",
"city": "ATHENS",
"state": "OH",
"postal_code": "457012117",
"telephone_number": "740-594-3718",
"fax_number": "740-594-3469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMONDS",
"first_name": "STEVEN",
"middle_name": "CHARLES",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-22",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "OH",
"license": "OP.017679-S",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.