Active NPI
M. Scott Edwards, OD, PA
- Optometrist
- Ahoskie, NC
National Provider Identifier
1639280241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 964
- Legal business name
- M. SCOTT EDWARDS, OD, PA
- Doing business as
- DOCTORS VISION CENTER
- Practice address
- 1488 Memorial Dr E
Ahoskie, NC 27910-3926 - Phone
- (252) 332-5618
- Fax
- (252) 332-5598
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Scott Edwards, OD
- Title
- Dr/Owner
- Phone
- (252) 332-5618
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 964 | NC | Primary |
Addresses
Primary practice location
1488 Memorial Dr E
Ahoskie, NC 27910-3926
Mailing address
1488 Memorial Dr E
Ahoskie, NC 27910-3926
Phone (252) 332-5618
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09249 | Other | NC | BLUE CROSS BLUE SHIELD |
| 09249 | Other | NC | STATE OF NORTH CAROLINA |
| 8909249 | Other | NC | DIVISION OF SERVICES BLIN |
| 8909249 | Medicaid | NC | |
| 09249 | Other | NC | ANTHEM BCBS OF VIRGINIA |
Other names 1
- DOCTORS VISION CENTER
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1639280241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1488 MEMORIAL DR E",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279103926",
"telephone_number": "252-332-5618",
"fax_number": "252-332-5598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1488 MEMORIAL DR E",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279103926",
"telephone_number": "252-332-5618",
"fax_number": "252-332-5598"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M. SCOTT EDWARDS, OD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "DR/OWNER",
"authorized_official_telephone_number": "252-332-5618",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "NC",
"license": "964",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "09249",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NORTH CAROLINA",
"identifier": "09249",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIVISION OF SERVICES BLIN",
"identifier": "8909249",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8909249",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS OF VIRGINIA",
"identifier": "09249",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DOCTORS VISION CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ahoskie, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.