DR. FRANK MIDDLETON EDMUNDS O.D.
NPI 1578560165
Optometrist in Provo, UT
About Dr. Frank Middleton Edmunds O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. FRANK MIDDLETON EDMUNDS O.D. (NPI 1578560165) is an individual optometrist in Provo, Utah, licensed in Utah (1109409934) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1981).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Frank Middleton Edmunds 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.
Medicare Billing Reassignments
2Medicare enrollment records show Frank Edmunds reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Provo, UT 84604
- Reassigned Medicare billing, Utah enrollment
- 15 clinicians in this Medicare group
Orem, UT 84097
- Reassigned Medicare billing, Utah enrollment
- 25 clinicians in this Medicare group
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PROVO, UT 84604
PROVO, UT 84604
PROVO, UT 84604
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 Frank Edmunds's NPI number?
The NPI number for Frank Edmunds is 1578560165. It was assigned to this individual provider in the NPPES registry on June 28, 2005.
Where is Frank Edmunds located?
Frank Edmunds practices at 1055 N 300 W Ste 204, Provo, UT 84604. The listed phone number is (801) 357-7373.
What is Frank Edmunds's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Frank Edmunds enrolled in Medicare?
Yes. Frank Edmunds is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Frank Edmunds's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Frank Edmunds reassigns Medicare benefits to 2 organizations: Utah Valley Eye Center Inc (Provo, UT) and Standard Optical Co (Orem, UT). Each 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 Frank Edmunds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Frank Edmunds accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Frank 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 Frank Edmunds was last updated on June 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Frank Middleton Edmunds, O.D. · NPI 1578560165
Optometrist provider in Provo, Utah. Individual provider, active in the CMS NPPES registry since June 28, 2005.
## Identity
- **NPI:** 1578560165 (Entity type: Individual)
- **Enumerated:** June 28, 2005
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 1109409934 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1055 N 300 W, STE 204, Provo, UT 84604-3374
- **Phone:** (801) 357-7373 · **Fax:** (801) 357-7217
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Utah Valley Eye Center Inc (NPI 1902195605, Provo, UT); Standard Optical Co (NPI 1093816548, Orem, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1981
## Record status
- **NPPES last updated:** June 10, 2020
- **Other identifiers:** Medicaid F0387 (UT)
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Source: [NPI Profile](https://npiprofile.com/npi/1578560165) · Data from the CMS NPPES public registry.