DAVID S. EDMONDS OD PC
NPI 1215129531
Optometrist in Vidalia, GA

Q: What is David S. Edmonds Od PC's NPI number?

The NPI number for David S. Edmonds Od PC is 1215129531. It was assigned to this organization in the NPPES registry on August 10, 2007.

Q: What is David S. Edmonds Od PC's specialty?

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

Active since August 10, 2007

3109 E 1ST ST, VIDALIA, GA 30474(912) 537-2436(912) 537-2659 Get Directions Write a Review

NPPES record last updated: August 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About David S. Edmonds Od Pc NPPES

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

DAVID S. EDMONDS OD PC (NPI 1215129531) is a healthcare organization registered as an optometrist in Vidalia, Georgia and active in the NPI registry since August 2007. The organization lists David Scott Edmonds, President, as its authorized official.

NPPES Registry Identity

NPI1215129531

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameDAVID S. EDMONDS OD PC

Location Address3109 E 1ST STVidalia, GA 30474-8830

Mailing Address3109 E 1st StVidalia, GA 30474-8830 · (912) 537-2436 · Fax (912) 537-2659

Phone(912) 537-2436

Fax(912) 537-2659

Organization SubpartNo

Authorized OfficialDavid Scott EdmondsPresident · (912) 537-2436

Enumeration DateAugust 10, 2007

Last NPPES UpdateAugust 4, 2015

✔ NPI 1215129531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in GA · OPT002008✔ Licensed in WV · 975-OD✔ Licensed in OH · 5027-T1904

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.

3109 E 1ST ST, Vidalia, GA 30474

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Other Identifiers 4

Medicare PIN511G700517GA

Medicaid496302301AGA

Medicare UPINU79324GA

Medicare PIN41ZCFZBGA

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

Other Providers at the Same Location NPPES 14

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

ISAIAH SCOTT EDMONDS LDO

Technician/Technologist (Optician)