ANDREW S EDWARDS MD PC
NPI 1083076624
Ophthalmology in Walla Walla, WA

Active since March 23, 2016
299 W TIETAN ST, WALLA WALLA, WA 99362(509) 525-2100(509) 522-0313 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 29, 2016, Mar 23, 2016 (2 updates tracked since 2016).

About Andrew S Edwards Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW S EDWARDS MD PC (NPI 1083076624), doing business as Walla Walla Eye Center, is a healthcare organization registered as an ophthalmology in Walla Walla, Washington and active in the NPI registry since March 2016. The organization lists Becky Ann Hernandez, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083076624
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameANDREW S EDWARDS MD PC
Location Address299 W TIETAN STWalla Walla, WA 99362-4363
Mailing Address299 W Tietan StWalla Walla, WA 99362-4363 · (509) 525-2100 · Fax (509) 522-0313
Fax(509) 522-0313
Organization SubpartNo
Authorized OfficialBecky Ann HernandezOffice Manager · (509) 525-2100
Enumeration DateMarch 23, 2016
Last NPPES UpdateJuly 2, 20262 updates tracked since enumeration
NPPES CertifiedJuly 2, 2026
✔ NPI 1083076624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in WA · MD60142403
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
299 W TIETAN ST, Walla Walla, WA 99362

Other Names 1

Doing Business AsWalla Walla Eye Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew S Edwards Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWashingtonEnrollment IDO20170110001211DME · Physician - OphthalmologyDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Andrew S Edwards MD PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Ophthalmology
NPI 1326261629
299 W TIETAN ST
Walla Walla, WA 99362
(509) 525-2100
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1245420876
109 N PINE ST
Ellensburg, WA 98926
(509) 962-3937
✔ PECOS✔ Accepts Medicare124 mi
Ophthalmology
NPI 1760522817
600 HIGHLAND AVE # F4349 F4/349
Madison, WI 53792
(405) 473-6491
✔ PECOS✔ Accepts Medicare1,434 mi
Ophthalmology
NPI 1790979011
2020 W ILES AVE
Springfield, IL 62704
(217) 698-3030
✔ PECOS✔ Accepts Medicare1,508 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew S Edwards MD PC's NPI number?

The NPI number for Andrew S Edwards MD PC is 1083076624. It was assigned to this organization in the NPPES registry on March 23, 2016. The provider is doing business as Walla Walla Eye Center.

Where is Andrew S Edwards MD PC located?

Andrew S Edwards MD PC is located at 299 W Tietan St, Walla Walla, WA 99362. The listed phone number is (509) 525-2100.

What is Andrew S Edwards MD PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Andrew S Edwards MD PC enrolled in Medicare?

Yes. Andrew S Edwards MD PC is registered in the Medicare PECOS enrollment system.

When is Andrew S Edwards MD PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Washington, Physician - Ophthalmology) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Andrew S Edwards MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Ophthalmology, reassign their Medicare billing to Andrew S Edwards MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Andrew S Edwards MD PC accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Andrew S Edwards MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew S Edwards MD PC was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.