JEREMY EDGERLY, OD, LLC
NPI 1679290332
Optometrist in Mountain Brook, AL

Q: What is Jeremy Edgerly, Od, LLC's NPI number?

The NPI number for Jeremy Edgerly, Od, LLC is 1679290332. It was assigned to this organization in the NPPES registry on October 24, 2022.

Q: What is Jeremy Edgerly, Od, LLC's specialty?

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

Active since October 24, 2022

921 JEMISON LANE, MOUNTAIN BROOK, AL 35223(205) 341-9595 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jeremy Edgerly, Od, Llc NPPES

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

JEREMY EDGERLY, OD, LLC (NPI 1679290332) is a healthcare organization registered as an optometrist in Mountain Brook, Alabama and active in the NPI registry since October 2022. The organization lists Jeremy Daniel Edgerly, Sole Member/optometrist, as its authorized official.

NPPES Registry Identity

NPI1679290332

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameJEREMY EDGERLY, OD, LLC

Location Address921 JEMISON LANEMountain Brook, AL 35223

Mailing Address3504 Branch Mill RdMountain Brk, AL 35223-1608 · (205) 341-9595

Phone(205) 341-9595

Organization SubpartNo

Authorized OfficialJeremy Daniel EdgerlySole Member/optometrist · (205) 341-9595

Enumeration DateOctober 24, 2022

NPPES CertifiedOctober 18, 2022

✔ NPI 1679290332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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.

921 JEMISON LANE, Mountain Brook, AL 35223

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremy Edgerly, Od, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jeremy Edgerly, Od, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jeremy Edgerly, O.D.

Optometry

NPI 1003177296

921 JEMISON LN
Mountain Brook, AL 35223

(205) 341-9595

✔ PECOS✔ Accepts Medicare0.1 mi

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

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 Jeremy Edgerly, Od, LLC's NPI number?

The NPI number for Jeremy Edgerly, Od, LLC is 1679290332. It was assigned to this organization in the NPPES registry on October 24, 2022.

Where is Jeremy Edgerly, Od, LLC located?

Jeremy Edgerly, Od, LLC is located at 921 Jemison Lane, Mountain Brook, AL 35223. The listed phone number is (205) 341-9595.

What is Jeremy Edgerly, Od, LLC's specialty?

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

Is Jeremy Edgerly, Od, LLC enrolled in Medicare?

Yes. Jeremy Edgerly, Od, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jeremy Edgerly, Od, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Jeremy Edgerly, Od, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jeremy Edgerly, Od, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list Jeremy Edgerly, Od, LLC 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 Jeremy Edgerly, Od, LLC was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.