DR. FREDERICK ROLLAND EDMUNDS JR. O.D.
NPI 1104991660
Optometrist - Sports Vision in Victor, NY

Q: What is Frederick Edmunds's NPI number?

The NPI number for Frederick Edmunds is 1104991660. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Q: What is Frederick Edmunds's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Sports Vision, with taxonomy code 152WS0006X.

Q: When was this NPI record last updated?

The NPPES record for Frederick Edmunds was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since November 21, 2006PECOS Enrolled

274 W MAIN ST, VICTOR, NY 14564(585) 880-4818 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 6, 2023, Feb 20, 2020 (2 updates tracked since 2020).

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About Dr. Frederick Rolland Edmunds Jr. O.d. NPPES

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

DR. FREDERICK ROLLAND EDMUNDS JR. O.D. (NPI 1104991660) is an individual sports vision provider in Victor, New York, licensed in New York (T004397-1) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104991660

Entity TypeIndividualMale

Primary Taxonomy152WS0006X

Provider Legal NameDR. FREDERICK ROLLAND EDMUNDS JR.Credential: O.D.

Location Address274 W MAIN STVictor, NY 14564-1157

Mailing Address7745 Peepers HolwVictor, NY 14564-8914 · (585) 924-3688

Phone(585) 880-4818

Sole ProprietorYes

Enumeration DateNovember 21, 2006

Last NPPES UpdateJuly 6, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2020

✔ NPI 1104991660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOptometrist · Sports VisionEye and Vision Services Providers

Taxonomy Code152WS0006X

License✔ Licensed in NY · T004397-1

Definition

An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the prevention of sports-related injuries; vision enhancement - which may include vision therapy and techniques to improve visual skills specific to the athlete's sport.

Also ListedOptometristTaxonomy 152W00000X · License 4397 (NY), T004397-1 (NY)

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License T004397-1 (NY)

Also ListedOptometrist · Vision TherapyTaxonomy 152WV0400X · License T004397-1 (NY)

274 W MAIN ST, Victor, NY 14564

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Frederick Rolland Edmunds Jr. O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14564 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTOR PHYSICAL THERAPY, LLC

Physical Therapist

274 W MAIN ST
VICTOR, NY 14564

Ontario County (585) 924-3250

REBECCA MORGAN ROBEL PT

Physical Therapist

274 W MAIN ST
VICTOR, NY 14564

Ontario County (585) 924-3250

BRIAN ANDREW PRATT O.D.

Optometrist

274 W MAIN ST
VICTOR, NY 14564

Ontario County (585) 924-4430

RICHARD R CHUTE OD

Optometrist

274 W MAIN ST, C & R VISION
VICTOR, NY 14564

Ontario County (585) 924-4430

MS. LAURA ANNE HADEED L.AC. DIPL.O.M, LMT

Acupuncturist

274 W MAIN ST
VICTOR, NY 14564

Ontario County (585) 398-8177

MICHAEL JEFFREY CARPIN P.T.

Physical Therapist

274 W MAIN ST
VICTOR, NY 14564

Ontario County (585) 924-3250

DR. NATASHA DECKER O.D.

Optometrist

274 W MAIN ST
VICTOR, NY 14564

Ontario County (585) 924-4430

C & R VISION CENTER INC

Optometrist

274 W MAIN ST
VICTOR, NY 14564

Ontario County (585) 924-4430

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 Frederick Edmunds's NPI number?

The NPI number for Frederick Edmunds is 1104991660. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Frederick Edmunds located?

Frederick Edmunds practices at 274 W Main St, Victor, NY 14564. The listed phone number is (585) 880-4818.

What is Frederick Edmunds's specialty?

The primary specialty registered for this NPI is Optometrist, specializing in Sports Vision, with taxonomy code 152WS0006X.

Is Frederick Edmunds enrolled in Medicare?

Yes. Frederick Edmunds is registered in the Medicare PECOS enrollment system.

What insurance does Frederick Edmunds accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Frederick Edmunds 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 Frederick Edmunds was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.