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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. BRENDAN TYLER EDMONDS OD
NPI 1205764438
Optometrist in Davison, MI

Active since May 09, 2026PECOS Enrolled
1063 S STATE RD STE 3, DAVISON, MI 48423(810) 658-2020 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2026, May 9, 2026 (2 updates tracked since 2026).

About Dr. Brendan Tyler Edmonds Od NPPES

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

DR. BRENDAN TYLER EDMONDS OD (NPI 1205764438) is an individual optometrist in Davison, Michigan, licensed in Michigan (4901005963) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS and maintains a secondary practice location in Swartz Creek.

NPPES Registry Identity

NPI1205764438
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. BRENDAN TYLER EDMONDSCredential: OD
Location Address1063 S STATE RD STE 3Davison, MI 48423-1900
Mailing Address9345 Tiger Run TrlDavison, MI 48423-8430 · (810) 449-7939
Phone(810) 658-2020
Sole ProprietorNo
Enumeration DateMay 9, 2026
Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1205764438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MI · 4901005963
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1063 S STATE RD STE 3, Davison, MI 48423
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Secondary Practice Location 1

Location 18129 Miller RdSwartz Creek, MI 48473-1335 · Phone (810) 635-8191

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. Brendan Tyler Edmonds Od 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 48423 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 6

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

PCO PC
Optometrist
1063 S STATE RD STE 3
DAVISON, MI 48423
Genesee County (810) 658-2020
DR. ANDRES LAMBARIA O.D.
Optometrist
1063 S STATE RD STE 3
DAVISON, MI 48423
Genesee County (810) 658-2020
BRIANNA LYNN BUSH OD
Optometrist
1063 S STATE RD STE 3
DAVISON, MI 48423
Genesee County (810) 658-2020
EYECARE ASSOCIATES
Optometrist
1063 S STATE RD STE 3
DAVISON, MI 48423
Genesee County (810) 658-2456
DR. JONATHAN ELIN-CALCADOR OD
Optometrist
1063 S STATE RD STE 3
DAVISON, MI 48423
Genesee County (810) 658-2020
TREVOR GRAHAM BET OD
Optometrist
1063 S STATE RD STE 3
DAVISON, MI 48423
Genesee County (810) 658-2020

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 Brendan Edmonds's NPI number?

The NPI number for Brendan Edmonds is 1205764438. It was assigned to this individual provider in the NPPES registry on May 9, 2026.

Where is Brendan Edmonds located?

Brendan Edmonds practices at 1063 S State Rd Ste 3, Davison, MI 48423. The listed phone number is (810) 658-2020.

What is Brendan Edmonds's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Brendan Edmonds enrolled in Medicare?

Yes. Brendan Edmonds is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brendan Edmonds was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.