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DR. DAVID S. EDMONDS O.D.
NPI 1235240177
Optometrist in Vidalia, GA

Active since August 31, 2006PECOS Enrolled
3109 E 1ST ST, VIDALIA, GA 30474(912) 537-2436(912) 537-2659 Get Directions Write a Review

NPPES record last updated: June 15, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. David S. Edmonds O.d. NPPES

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

DR. DAVID S. EDMONDS O.D. (NPI 1235240177) is an individual optometrist in Vidalia, Georgia, licensed in Georgia (OPT002008) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235240177
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. DAVID S. EDMONDSCredential: O.D.
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
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateJune 15, 2015
✔ NPI 1235240177 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 OH · 5027/T1904✔ Licensed in WV · 975-OD
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 3

Medicare UPINU79324
Medicare PIN4013642OH
Medicare ID-Type Unspecified41ZCFZBGA · Cms Carrier Provider #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. David S. Edmonds 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.

Medicare Billing Reassignment

Medicare enrollment records show David Edmonds reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

David S. Edmonds Od PC
Same address
Optometrist
3109 E 1ST ST
Vidalia, GA 30474
  • Reassigned Medicare billing, Georgia enrollment
NPI 1215129531 (912) 537-2436

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
21 services21 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
18 services18 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30474 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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 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)
3109 E 1ST ST
VIDALIA, GA 30474
Toombs County (912) 537-2436
BRENDAN DARBY PEARSALL PHARMD
Pharmacist
3109 E 1ST ST
VIDALIA, GA 30474
Toombs County (912) 537-7765
DAVID S. EDMONDS OD PC
Optometrist
3109 E 1ST ST
VIDALIA, GA 30474
Toombs County (912) 537-2436
DONNA J MARCHANT
Technician/Technologist (Optician)
3109 E 1ST ST
VIDALIA, GA 30474
Toombs County (912) 537-2436
RAUL ALEJANDRO ZAMORANO
Pharmacist
3109 E 1ST ST
VIDALIA, GA 30474
Toombs County (912) 537-7765
VIRGINIA GRACE GOURLEY CATO PHARMD, RPH
Pharmacist
3109 E 1ST ST
VIDALIA, GA 30474
Toombs County (912) 537-7765
KIMBERLY DANITA BROWN
Technician/Technologist (Optician)
3109 E 1ST ST
VIDALIA, GA 30474
Toombs County (912) 537-2436
WAL-MART STORES EAST, LP
Eyewear Supplier
3109 E 1ST ST
VIDALIA, GA 30474
Toombs County (912) 537-0889

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 David Edmonds's NPI number?

The NPI number for David Edmonds is 1235240177. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is David Edmonds located?

David Edmonds practices at 3109 E 1st St, Vidalia, GA 30474. The listed phone number is (912) 537-2436.

What is David Edmonds's specialty?

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

Is David Edmonds enrolled in Medicare?

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

Which organization bills Medicare for David Edmonds's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Edmonds reassigns Medicare benefits to David S. Edmonds Od PC (Vidalia, GA). The 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 David Edmonds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Edmonds accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list David Edmonds 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 David Edmonds was last updated on June 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.