DR. ROBERT P EDWARDS (NPI# 1396753059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396753059 |
| Entity Type | Individual |
| Full Name | DR. ROBERT P EDWARDS |
| Credential | O.D. |
| Practice Address |
3055 Wabash Ave Springfield IL 62704 |
| Mailing Address |
8309 N Knoxville Ave Peoria IL 61615-2170 |
| Practice Telephone | 2177932273 |
| Practice Fax Number | 2177932278 |
| Mailing Telephone | 3096939540 |
| Mailing Fax Number | 3093069001 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2018-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046006399 | IL | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2760 N Dirksen Pkwy, Springfield, IL 627021448 | 2175224396 | 2175224861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508132861 | Robert Lansing Edwards | Licensed Practical Nurse | 4 Barber Ave, Queensbury, NY 12804-2601 | 2012-03-30 |
| 1255615910 | Robert Lee Patrick Edwards I | Obstetrics & Gynecology | 4114 Greensboro Dr, San Antonio, TX 78229-4613 | 2011-09-29 |
| 1326349283 | Robert J Edwards | Dentist | 877 E South Boulder Rd, Louisville, CO 80027 | 2010-11-09 |
| 1861680548 | Robert Buster Edwards Jr. | Counselor | 1000 3rd St Ne, Minot, ND 58703-2477 | 2007-10-09 |
| 1992859870 | Robert Lynn Edwards | Pharmacist | 277 Indian Springs Dr, Florence, AL 35634-2001 | 2007-01-22 |
| 1649327172 | Robert Hunter Edwards | Dentist | 307 Redmond Rd Nw, Rome, GA 30165-1539 | 2007-01-05 |
| 1003924648 | Robert L Edwards | Dentist | 1900 S Hawthorne Road, # 360 Forsyth Medical Park, Winston Salem, NC 27103 | 2006-08-25 |
| 1972610921 | Robert Steven Edwards | Internal Medicine | 4434 Friarwood Dr, Alton, IL 62002-6925 | 2006-08-24 |
| 1518975937 | Robert G Edwards | Internal Medicine | 102 Fairview Dr Ste F, Franklin, VA 23851 | 2006-08-03 |
| 1093749707 | Robert William Edwards | Pediatrics | 17 South Warren Street, Dover, NJ 07801 | 2006-07-10 |
| Street Address |
3055 WABASH AVE |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932116449 | Marc Christopher Sarmiento | Optometrist | 3055 Wabash Ave, Springfield, IL 62704-6414 | 2006-08-01 |
| 1023480316 | Molly Guithues | Optometrist | 3055 Wabash Ave, Springfield, IL 62704-6414 | 2015-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| 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 |
|---|---|---|---|---|
| 1053938092 | Premier Vision Center LLC | Optometrist | 2809 Mansion Rd Ste A, Springfield, IL 62711-6811 | 2020-06-25 |
| 1376180109 | Drs. Akre & Clark, Ltd. | Optometrist | 623 W Rock St, Springfield, MN 56087-1028 | 2019-11-27 |
| 1407410087 | Missouri Physicians Eyecare Group, P.C. | Optometrist | 1415 E Battlefield St, Springfield, MO 65804-3701 | 2019-04-29 |
| 1467931006 | Vision Care Focus, LLC | Optometrist | 1507 Mohawk Blvd, Springfield, OR 97477-3355 | 2018-08-13 |
| 1306337126 | Casey Marie Smith | Optometrist | 1024 N Plum St, Springfield, OH 45504-2108 | 2018-05-29 |
| 1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
| 1790299311 | Springfield Eye Specialists LLC | Optometrist | 3231 S National Ave Ste 165, Springfield, MO 65807-7304 | 2017-11-17 |
| 1093253247 | Minh-tam Nguyen | Optometrist | 8424 Old Keene Mill Rd, Springfield, VA 22152-2302 | 2017-02-08 |
| 1013453877 | Grace Chang, Od PC | Optometrist | 6575n Frontier Dr, Springfield, VA 22150-1415 | 2017-01-17 |
| 1669821914 | Laura Kay | Optometrist | 1342 E Primrose St Ste B, Springfield, MO 65804-4224 | 2016-06-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
Please comment or provide details below to improve the information on DR. ROBERT P EDWARDS.
| 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.