MR. DAVID O. EDMUNDS – Optometrist, NPI 1114206034
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
312 OPTOMETRY in UT
Provider Addresses for MR. DAVID O. EDMUNDS
7321 BALMER ST BLDG 570
HILL AFB, UT 840565012
Phone:
Type: Mailing
1055 N 300 W STE 204
PROVO, UT 846043374
Phone: (801) 357-7373
Fax: (801) 357-7217
Type: Location
3241 S Michigan Ave
Chicago, IL 606164201
Phone: (801) 473-9718
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $396.
Total Amount is formed as General ($396) + Research ($0) + Ownership ($0) = $396.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Alcon Vision LLC ($167).
Total Amount
$396
General + Research + Ownership
Payments
19
Total payment records
General Amount
$396
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $167 |
| CooperVision Inc. | $57 |
| Johnson & Johnson Vision Care, Inc. | $51 |
| ABBVIE INC. | $35 |
| Bausch & Lomb Americas Inc. | $35 |
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: 2018-05-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180503002037 | I | Optometry | UT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 222 | 212 | $0 |
| 92250 | Photography of the retina | 212 | 203 | $0 |
| 92012 | Established patient problem focused exam of visual system | 67 | 51 | $0 |
| 92004 | New patient complete exam of visual system | 32 | 32 | $0 |
| 92134 | Imaging of retina | 27 | 27 | $0 |
Insurance plans in this area (ZIP 84056)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | UT | |
| O P H T H A L M O L O G Y | UT | |
| O P H T H A L M O L O G Y | UT | |
| O P T O M E T R Y | UT | |
| - | UT | |
| O P T O M E T R Y | UT | |
| O P T O M E T R Y | UT | |
| - | UT | |
| O P T O M E T R Y | UT | |
| O P H T H A L M O L O G Y | UT |
Reviews
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