DR. FREDERICK ROLLAND EDMUNDS JR. (NPI# 1104991660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104991660 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK ROLLAND EDMUNDS JR. |
| Credential | O.D. |
| Practice Address |
274 W Main St Victor NY 14564-1157 |
| Mailing Address |
7745 Peepers Holw Victor NY 14564-8914 |
| Practice Telephone | 5858804818 |
| Mailing Telephone | 5859243688 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-02-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | T004397-1 | NY | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
T004397-1 | NY | Eye and Vision Services Providers |
| Y | 152WS0006X |
Optometrist Specialization: Sports Vision |
T004397-1 | NY | Eye and Vision Services Providers |
| N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
T004397-1 | NY | Eye and Vision Services Providers |
| Street Address |
274 W MAIN ST |
| City | VICTOR |
| State | NY |
| Zip Code | 14564-1157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255390746 | Richard R Chute | Optometrist | 274 W Main St, C & R Vision, Victor, NY 14564-1157 | 2006-03-22 |
| 1164948212 | Rebecca Morgan Robel | Physical Therapist | 274 W Main St, Victor, NY 14564-1157 | 2017-08-21 |
| 1801013511 | C & R Vision Center Inc | Eyewear Supplier (Equipment, not the service) | 274 W Main St, Victor, NY 14564-1157 | 2007-04-20 |
| 1215087556 | Brian Andrew Pratt | Optometrist | 274 W Main St, Victor, NY 14564-1157 | 2007-01-11 |
| 1164579603 | Victor Physical Therapy, LLC | Physical Therapist | 274 W Main St, Victor, NY 14564-1157 | 2007-01-05 |
| 1659428175 | Michael Jeffrey Carpin | Physical Therapist | 274 W Main St, Victor, NY 14564-1157 | 2007-01-05 |
| 1679636153 | Natasha Decker | Optometrist | 274 W Main St, Victor, NY 14564-1157 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110722 | Linda Lechner | Technician | 6251 Murphy Dr, Victor, NY 14564 | 2019-08-22 |
| 1447768320 | Christina Ann Counceller | Registered Nurse | 6731 Springdale Ct, Victor, NY 14564 | 2018-01-13 |
| 1679971915 | Claire Marie Higman | Social Worker | 6539 Anthony Dr, Suite A, Victor, NY 14564 | 2014-12-19 |
| 1528300233 | Fpr Specialty Pharmacy, LLC | Pharmacy | 7910 Rae Boulevard, Suite C, Victor, NY 14564 | 2013-03-20 |
| 1598017519 | Vanessa Lynn Becker | Licensed Practical Nurse | 6423 St.rte.96, Victor, NY 14564 | 2012-10-15 |
| 1154688281 | Brownstone Victor Physical Therapy | Specialist | 10 East Main Street, Suite 102, Victor, NY 14564 | 2012-04-13 |
| 1508138017 | America's Best Contacts & Eyeglasses | Technician/Technologist | 427 Commerce Dr., Victor, NY 14564 | 2012-01-30 |
| 1568779759 | Carol Ann Marshall | Occupational Therapy Assistant | 590 Fisher's Station Dr., Victor, NY 14564 | 2010-09-09 |
| 1932345188 | Gina Marie Colucci | Speech-Language Pathologist | 7641 Pine Tree Dr, Victor, NY 14564 | 2008-12-17 |
| 1720231053 | Suzanne Lester | Nurse Practitioner | 1600 Moseley Road, Suite 300, Victor, NY 14564 | 2008-10-30 |
| Find all providers in zip 14564 | ||||
| Taxonomy Code | 152WS0006X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Sports Vision |
| An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the prevention of sports-related injuries; vision enhancement - which may include vision therapy and techniques to improve visual skills specific to the athlete’s sport. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649322611 | Edward H Miles | Optometrist | 888 8th Ave, New York, NY 10019-5704 | 2007-01-18 |
Please comment or provide details below to improve the information on DR. FREDERICK ROLLAND EDMUNDS JR..
| 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.