Nathaniel David Edwards, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2845 Issued in OK

Practice address

913 N 11TH St
Duncan, OK 73533-4033

Phone

(580) 255-1722

Fax

(580) 255-1234

NPI assigned

Jul 28, 2015

Last updated

May 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 OK

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Nathaniel D Edwards OD PLLC

  dba Edwards Family Vision

  • Optometrist
  • Duncan, OK
  • NPI 1518343763
  Medicare reassignment NPD Authorized official
• Duncan Opticians, Inc.

  • Optician
  • Duncan, OK
  • NPI 1497861173
  NPD (past)

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1366827644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 N 11TH ST",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334033",
            "telephone_number": "580-255-1722",
            "fax_number": "580-255-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 N 11TH ST",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735334033",
            "telephone_number": "580-255-1722",
            "fax_number": "580-255-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "NATHANIEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-28",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle Partners, PLLC
• Caitlyn Easly, M.A., CF-SLP
• Whitney Alyse Eastwood, DPT
• Edwards Counseling LLC
• Jeffrey Wayne Edwards, O.D.
• William Louis Edwards, M.D.
• Thomas J Eiser, M.D.
• Stacie Herndon Elfrink, MD
• Taylor Nicole Ely, PA
• Molli Elizabeth Emerson, APRN FNP-C

• Optometrist in Duncan, OK
• Providers in Duncan, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.