Charles R Edmonds, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

050 Issued in AZ

Practice address

4730 E Pima St
Tucson, AZ 85712-3521

Phone

(520) 795-3956

Fax

(520) 318-3431

NPI assigned

Jan 30, 2006

Last updated

Aug 11, 2010By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1508837220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 E PIMA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123521",
            "telephone_number": "520-795-3956",
            "fax_number": "520-318-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 E PIMA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123521",
            "telephone_number": "520-795-3956",
            "fax_number": "520-318-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "CHARLES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "050",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AZ",
            "license": "050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin L Edgell, LMSW
• Luz Edie
• Alec Warren Edison
• Carmen T. Edmerson, M.S., CCC-SLP
• Tara Ann Edminson, LPC
• Christopher Edmonds, PHARM.D
• Emily Edmonds, PH.D.
• Edmonds, Husz & Pemberton Eye Center
• Reilly Edmonds, DO
• Aura Leaf Kaila Edmondson, ACNP

• Optometrist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.