Edgar Fernando Judd, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

13396875-9934 Issued in UT

Practice address

1251 Northfield Rd Ste 215
Cedar City, UT 84721-8623

Phone

(435) 865-9899

NPI assigned

May 18, 2023

Last updated

May 18, 2023By 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

Enrolled in UT

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

Southern College of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Utah Vision Care PLLCGroup PAC ID 9335408871, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Southern Utah Vision Care PLLC

  • Optometrist
  • Cedar City, UT
  • NPI 1669978896
  Medicare reassignment Care Compare group NPD
• Southern Utah Vision Care, Inc.

  • Optometrist
  • Cedar City, UT
  • NPI 1215050109
  NPD

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1386335503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 S 2475 W",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847201969",
            "telephone_number": "435-393-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 NORTHFIELD RD STE 215",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847218623",
            "telephone_number": "435-865-9899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 E Center St",
            "address_purpose": "LOCATION",
            "city": "Panguitch",
            "state": "UT",
            "postal_code": "847597863",
            "country_code": "US",
            "telephone_number": "435-676-8646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUDD",
        "first_name": "EDGAR",
        "middle_name": "FERNANDO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "13396875-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Joyce
• JT Williams Enterprises Inc
• Brenda Jean Judd, LMT, LE
• Brent Hinton Judd, LCSW
• Darrin Judd, SSW
• Austin Shane Julian
• Marjorie B June, LCSW
• Delaynie Justesen
• Noeun Ka, L.AC.
• Aimee Kaiser, CMHC

• Optometrist in Cedar City, UT
• Providers in Cedar City, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.