Organization Active NPI

Edney Eye Associates OD

  • Optometrist
  • Columbus, NC
National Provider Identifier
1861741639
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1256 Issued in NC
Legal business name
EDNEY EYE ASSOCIATES OD
Practice address
69 Shuford Rd
Suite B
Columbus, NC 28722-7406
Phone
(828) 894-3930
Fax
(828) 894-3950
NPI assigned
Sep 7, 2012
Last updated
Oct 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Richard Vance Edney, ODNPI 1669450359
Title
President
Phone
(828) 894-3930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1256 NC Primary

Addresses

Primary practice location

69 Shuford Rd
Suite B
Columbus, NC 28722-7406

Mailing address

69 Shuford Rd
Suite B
Columbus, NC 28722-7406
Phone (828) 894-3930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930049993 NC DME Supplier - Physician - OptometristDME Supplier - Optician 5799975553 1 other NPI on this enrollment
Practice locations: Columbus, NC
O20121012000007 NC Part B Supplier - Clinic/Group Practice 5799975553 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, NC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Edney Eye Associates OD69 Shuford Rd, Columbus, NC 28722-7406(828) 894-3930 Prosthetic Lenses: Conventional Eyeglasses Does not accept assignmentParticipating since Apr 22, 2010

National Provider Directory

National Provider Directory

Locations

69 Shuford Rd
Columbus, NC 28722
Phone (828) 894-3930

69 Shuford Rd
#B
Columbus, NC 28722
Phone (828) 894-3930

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1861741639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 SHUFORD RD",
            "address_2": "SUITE B",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287227406",
            "telephone_number": "828-894-3930",
            "fax_number": "828-894-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 SHUFORD RD",
            "address_2": "SUITE B",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287227406",
            "telephone_number": "828-894-3930",
            "fax_number": "828-894-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDNEY EYE ASSOCIATES OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "EDNEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "VANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-894-3930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.