CHAD J EDWARDS (O.D.) – Optometrist, NPI 1063436079

CHAD J EDWARDS (O.D.) is a healthcare provider. based in Owasso, Oklahoma. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2300 (OK). The NPI Number for CHAD J EDWARDS (O.D.) is 1063436079

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
CHAD J EDWARDS (O.D.)
NPI
1063436079
Phone
(918) 274-7100
Address
12455 E 100TH ST N # 110
Enumeration Date
26 July 2006
Last Update Date
1 December 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9182747100
Graduation Year
2000 (26 years ago)
PAC ID
9638274566
Group Practice PAC ID
7719082643
Professional Enrollment ID
I20070420000220
Address ID
OK740554675OW12455NXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

684 OPTOMETRY in OK

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Provider Addresses for CHAD J EDWARDS (O.D.)

  • East 100th Street North, Owasso, Rogers County, Oklahoma, 74055, United States

    OWASSO, OK 740554600

    Phone: (918) 274-7100

    Fax: (918) 584-4479

    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: 2007-04-20

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
I20070420000220IOptometryOKTBD

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
92014Established patient complete exam of visual system355350$0
99213Established patient office or other outpatient visit, 20-29 minutes12493$0
92004New patient complete exam of visual system7979$0
92134Imaging of retina7368$0
92083Exam of visual field with extended testing6060$0
View full utilization report →

Insurance plans in this area (ZIP 74055)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719082643View full group profile
NameSpecialtyState
O P T O M E T R YOK

Reviews

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Frequently asked questions

How do payers reference CHAD J EDWARDS (O.D.)?
For CHAD J EDWARDS (O.D.), use NPI 1063436079 as the unique 10-digit identifier.
Would CHAD J EDWARDS (O.D.) appear as active to a payer?
You can treat CHAD J EDWARDS (O.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to CHAD J EDWARDS (O.D.)?
CHAD J EDWARDS (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Where in Oklahoma is CHAD J EDWARDS (O.D.) registered?
Use Owasso, Oklahoma as the headline location for CHAD J EDWARDS (O.D.) here.
When was this NPI issued?
Enumeration for CHAD J EDWARDS (O.D.) is noted as July 26, 2006 where the registry provides it.

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