Jeremy Kiyoshi Aoki Edwards, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14029 Issued in CA

Practice address

950 Tharp Rd
Suite 1500
Yuba City, CA 95993-8344

Phone

(530) 671-7100

Fax

(530) 671-7121

NPI assigned

Jul 23, 2010

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 CA

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 of California - School of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bradley Optometry IncGroup PAC ID 1557598877, 2 clinicians

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 and National Provider Directory roles.

• Bradley Optometry Inc

  • Optometrist
  • Yuba City, CA
  • NPI 1669805362
  Medicare reassignment Care Compare group NPD
• Robert Alan Del Pero, M.D.

  • Ophthalmology Physician
  • Yuba City, CA
  • NPI 1578577102
  Medicare reassignment

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1619280294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 THARP RD",
            "address_2": "SUITE 1500",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959938344",
            "telephone_number": "530-671-7100",
            "fax_number": "530-671-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 THARP RD",
            "address_2": "SUITE 1500",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959938344",
            "telephone_number": "530-671-7100",
            "fax_number": "530-671-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JEREMY",
        "middle_name": "KIYOSHI AOKI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-23",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dynamic Health and Wellness Inc a Professional Medical Corporation
• E Center
• Robert Eckerman
• Leon Melvin Edelstein, M.D.
• David Michael-Delorne Edwards
• Larry A. Edwards
• Rachel Ehrhart
• Rebecca Ehrhart, MENTAL HEALTH WORKER
• Ashraf S Ekdawy, M.D.
• Amr Mohamed Eldemerdash

• Optometrist in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.