EDGAR FERNANDO JUDD (OD) – Optometrist, NPI 1386335503

EDGAR FERNANDO JUDD (OD) is a healthcare provider. based in Panguitch, Utah. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 13396875-9934 (UT). The NPI Number for EDGAR FERNANDO JUDD (OD) is 1386335503

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
EDGAR FERNANDO JUDD (OD)
NPI
1386335503
Phone
(435) 676-8646
Address
415 E Center St
Enumeration Date
18 May 2023
Last Update Date
18 May 2023

Doctor Profile

Medical School Name
SOUTHERN COLLEGE OF OPTOMETRY
Secondary Phone
4358659899
Graduation Year
2023 (3 years ago)
PAC ID
9537528732
Group Practice PAC ID
9335408871
Professional Enrollment ID
I20230706002319
Address ID
UT847218623CE1251XRDXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

312 OPTOMETRY in UT

Provider Addresses for EDGAR FERNANDO JUDD (OD)

  • 415 E Center St

    Panguitch, UT 847597863

    Phone: (435) 676-8646

    Type: Location

  • 598 S 2475 W

    CEDAR CITY, UT 847201969

    Phone: (435) 393-5190

    Type: Mailing

  • 1251 NORTHFIELD RD STE 215

    CEDAR CITY, UT 847218623

    Phone: (435) 865-9899

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-11-06 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($16).

Total Amount

$28

General + Research + Ownership

Payments

2

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2023-07-06

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
I20230706002319IOptometryUTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84759)

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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: 9335408871View full group profile
NameSpecialtyState
-UT
-UT
O P T O M E T R YUT
O P T O M E T R YNV

Reviews

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Frequently asked questions

What federal number belongs to EDGAR FERNANDO JUDD (OD)?
The federal identifier for EDGAR FERNANDO JUDD (OD) is NPI 1386335503.
Does this profile mean EDGAR FERNANDO JUDD (OD) is currently active?
Yes — EDGAR FERNANDO JUDD (OD) appears active in the national provider directory.
Can you summarize EDGAR FERNANDO JUDD (OD)'s specialty in plain language?
Clinically, the directory lists EDGAR FERNANDO JUDD (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for EDGAR FERNANDO JUDD (OD)?
We surface Panguitch, Utah for EDGAR FERNANDO JUDD (OD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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