KYLE B EDWARDS OD PC (NPI# 1508195843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508195843 |
| Entity Type | Organization |
| Organization Name | KYLE B EDWARDS OD PC |
| Other Organization Name | EDWARDS EYE CARE |
| Practice Address |
7824 Hickory Flat Hwy Suite 100 Woodstock GA 30188-6574 |
| Practice Telephone | 4043755637 |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2012-08-09 |
| Authorized Official Name | DR. KYLE B EDWARDS (OPTOMETRIST / CEO) |
| Authorized Official Telephone | 4045452388 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT002461 | GA | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Edwards Eye Care | Doing Business As Name - Organization |
| Street Address |
7824 HICKORY FLAT HWY SUITE 100 |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30188-6574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619133261 | Kyle Burke Edwards | Optometrist | 7824 Hickory Flat Hwy, Suite 100, Woodstock, GA 30188-6574 | 2008-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1881224897 | Dr. Tom LLC | Clinic/Center | 5431 Old Highway 5 Ste 206, Holly Springs, GA 30188 | 2020-01-17 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
| 1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
| 1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
| 1497254122 | J.a.h. Enterprises, LLC | Audiologist | 12195 Hwy. 92, Suite 114-325, Woodstock, GA 30188 | 2018-02-08 |
| Find all providers in zip 30188 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890284 | Woodstock Eye Associates LLC | Optometrist | 113 Lincoln St, Woodstock, GA 30188-7800 | 2020-08-07 |
| 1235794959 | National Vision Inc | Optometrist | 130 Woodstock Square Ave Ste 430, Woodstock, GA 30189-6500 | 2019-05-08 |
| 1063933588 | Marietta Eye Clinic, Pa | Optometrist | 2990 Eagle Dr Ste 110, Woodstock, GA 30189 | 2017-07-06 |
| 1366857807 | Robert Adam Young | Optometrist | 9801 Highway 92 Ste 100, Woodstock, GA 30188-6454 | 2014-06-24 |
| 1003243502 | Romanda Basaly Demetrios | Optometrist | 12924 Highway 92, Woodstock, GA 30188-5192 | 2013-09-30 |
| 1427497825 | Jonathan David Chao | Optometrist | 915 Ridgewalk Pkwy Ste 425, Woodstock, GA 30188-0119 | 2013-06-19 |
| 1588949846 | Steven J Keith Od PC | Optometrist | 1010 Wyngate Pkwy Ste 201, Woodstock, GA 30189-6990 | 2011-10-19 |
| 1063650422 | Woodstock Vision Center, Inc. | Optometrist | 9801 Highway 92, Suite 100, Woodstock, GA 30188-6453 | 2009-01-22 |
| 1619133261 | Kyle Burke Edwards | Optometrist | 7824 Hickory Flat Hwy, Suite 100, Woodstock, GA 30188-6574 | 2008-08-04 |
| 1215132154 | Joann Janczewski | Optometrist | 10709 Croydon Ct, Woodstock, MD 21163-1415 | 2007-06-20 |
| Find all providers in WOODSTOCK | ||||
Please comment or provide details below to improve the information on KYLE B EDWARDS OD PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.