Darel C Edwards, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

OPT001223 Issued in GA

Practice address

206 Maple Dr
Vidalia, GA 30474-8907

Phone

(912) 537-3004

Fax

(912) 537-7935

NPI assigned

Aug 30, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

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, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John E Imhoff MD PCGroup PAC ID 0749278943, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: darel.edwards.p1@direct.see.nextgenshare.com

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.

• John E Imhoff MD PC

  • Ophthalmology Physician
  • Brunswick, GA
  • NPI 1366540007
  Medicare reassignment Care Compare group NPD
• Appling Eye Clinic.Inc.

  • Optometrist
  • Baxley, GA
  • NPI 1245205061
  NPD (past) Authorized official
• Appling Eye Clinic,Inc.

  • Optometrist
  • Baxley, GA
  • NPI 1710952890
  NPD (past)
• Florida Retina Institute James a Staman MD LLC

  • Ophthalmology Physician
  • Orlando, FL
  • NPI 1447328026
  NPD (past)

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1639162175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 MAPLE DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748907",
            "telephone_number": "912-537-3004",
            "fax_number": "912-537-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 MAPLE DR",
            "city": "VIDALIA",
            "state": "GA",
            "postal_code": "304748907",
            "telephone_number": "912-537-3004",
            "fax_number": "912-537-7935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DAREL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "OPT001223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00423893G",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OPT001223",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Dyal
• E & I Helping Hands Personal Care Home Inc
• East Georgia Healthcare Center, Inc.
• David S. Edmonds, O.D.
• Isaiah Scott Edmonds, LDO
• Kayla Edwards, CCC-SLP
• Milca Altineus Ejimone, MD
• Joshua Kyle Ellis, LPC
• Mindy Shook Ellis, ATC
• Embrace Care LLC

• Corneal and Contact Management Optometrist in Vidalia, GA
• Providers in Vidalia, GA by specialty
• Corneal and Contact Management Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; 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.