Paul Thomas Edwards, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000435 Issued in VA

Practice address

75 D Main Street
Mathews, VA 23109-1270

Phone

(804) 725-2430

Fax

(804) 725-2377

NPI assigned

Aug 1, 2006

Last updated

Mar 5, 2014By 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 VA

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

University Alabama Birmingham - School of Optometry, 1984

Medicare assignment

May accept Medicare assignment

Group practices

Old Dominion Eye Care IncGroup PAC ID 8527009364, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Old Dominion Eye Care Inc

  • Ophthalmology Physician
  • Kilmarnock, VA
  • NPI 1669547311
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393977600000",
    "number": "1447267976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1270",
            "city": "MATHEWS",
            "state": "VA",
            "postal_code": "231091270",
            "telephone_number": "804-725-2430",
            "fax_number": "804-725-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 D MAIN STREET",
            "city": "MATHEWS",
            "state": "VA",
            "postal_code": "231091270",
            "telephone_number": "804-725-2430",
            "fax_number": "804-725-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "PAUL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon D Burris, NP
• Christy B. Brown, Inc. (Mathews Pharmacy)
• Commonwealth of Virginia State Board of Health (Mathews County Health Department)
• Jessica Tracy Deamer, MA, CAS
• Kristine L Dutton, FNP
• Karen Enneking, PMHNP-BC
• Ingrid Elizabeth Fincher, NP
• Barbara A Garner, NP
• Lynette Renae Glockner, RPH
• Sara Hallberg, LPC, CSOTP

• Optometrist in Mathews, VA
• Providers in Mathews, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.