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

Q: 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.

Q: What is David Edmonds's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David Edmonds was last updated on June 15, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment

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: July 26, 2026.

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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 and is a graduate of Illinois College Of Optometry At Chicago (1999).

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

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1999

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David S. Edmonds O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123010469

PECOS Enrollment IDI20051208000130

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.

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.

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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)