DR. DAVID S. EDMONDS (O.D.) – Optometrist, NPI 1235240177

DR. DAVID S. EDMONDS (O.D.) is a healthcare provider. based in Vidalia, Georgia. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. OPT002008 (GA). The NPI Number for DR. DAVID S. EDMONDS (O.D.) is 1235240177

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID S. EDMONDS (O.D.)
NPI
1235240177
Phone
(912) 537-2436
Address
3109 E 1ST ST
Enumeration Date
31 August 2006
Last Update Date
15 June 2015

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
9125372436
Graduation Year
1999 (27 years ago)
PAC ID
8123010469
Professional Enrollment ID
I20051208000130
Address ID
GA304748830VI3109XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

958 OPTOMETRY in GA

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Provider Addresses for DR. DAVID S. EDMONDS (O.D.)

  • 1st Street, Vidalia, Toombs County, Georgia, 30474, United States

    VIDALIA, GA 304748830

    Phone: (912) 537-2436

    Fax: (912) 537-2659

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-12-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051208000130IOptometryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92250Photography of the retina1111$0
View full utilization report →

Insurance plans in this area (ZIP 30474)

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Reviews

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Frequently asked questions

How do I look up DR. DAVID S. EDMONDS (O.D.) by NPI?
Use NPI 1235240177 when you need to reference DR. DAVID S. EDMONDS (O.D.) in forms, claims, or directories.
Is DR. DAVID S. EDMONDS (O.D.) active in the national directory?
DR. DAVID S. EDMONDS (O.D.)'s public NPI profile is in an active state.
Can you summarize DR. DAVID S. EDMONDS (O.D.)'s specialty in plain language?
Clinically, the directory lists DR. DAVID S. EDMONDS (O.D.) with Optometrist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. DAVID S. EDMONDS (O.D.)?
The snapshot lists Vidalia, Georgia for DR. DAVID S. EDMONDS (O.D.); download NPPES for the complete set.
Is DR. DAVID S. EDMONDS (O.D.) a real provider?
This page reflects official NPPES data for NPI 1235240177. Always confirm identity and privileges with the practice and licensing boards.