Nathan Darrell Edwards, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

337T Issued in WY

Practice address

1328 E 12TH St
Casper, WY 82601-3912

Phone

(307) 237-8713

Fax

(307) 237-5740

NPI assigned

May 27, 2010

Last updated

Jan 22, 2020By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

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

Pacific University - College of Optometry, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Vision and Contact Lens Clinic LLCGroup PAC ID 8224049648, 3 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Vision and Contact Lens Clinic, LLC

  • Optometrist
  • Casper, WY
  • NPI 1407801137
  Medicare reassignment Care Compare group NPD
• Stickelberger Vision

  • Optometrist
  • Casper, WY
  • NPI 1871958660
  NPD
• Hawthorne Vision Center PC

  • Optometrist
  • Portland, OR
  • NPI 1770699860
  NPD (past)

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1730408956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 E 12TH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013912",
            "telephone_number": "307-237-8713",
            "fax_number": "307-237-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 E 12TH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013912",
            "telephone_number": "307-237-8713",
            "fax_number": "307-237-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "NATHAN",
        "middle_name": "DARRELL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-27",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "337T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WYOMING BOARD OF OPTOMETRY",
            "identifier": "337T",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eddington Anesthesia Inc
• Chelsea Eddington, PA-C
• Luke Donald Eddington, DC, MS
• Bruce Nels Eddy, DDS
• Diane R Edwards, MD
• Tiara Edwards
• Eh Health Home Health of the Northwest, LLC (Enhabit Home Health)
• Eh Hospice of the West, LLC (Enhabit Hospice)
• Jacob Ehlert, PA
• Melissa R Eichenberger

• Optometrist in Casper, WY
• Providers in Casper, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; 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.