DR. THOMAS C EDEWAARD (NPI# 1417987512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417987512 |
| Entity Type | Individual |
| Full Name | DR. THOMAS C EDEWAARD |
| Credential | O.D. |
| Practice Address |
705 Old Trolley Rd Suite A Summerville SC 29485-5212 |
| Practice Telephone | 8438219300 |
| Practice Fax Number | 8438219300 |
| Mailing Telephone | 8438219300 |
| Mailing Fax Number | 8438219300 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2009-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | SC972 | SC | Eye and Vision Services Providers |
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
SC972 | SC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | RAILROAD MEDICARE | 410023170 | 01 |
| SC | D09729 | 05 |
| Street Address |
705 OLD TROLLEY RD SUITE A |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485-5212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770884264 | Dr. Thomas C. Edewaard | Optometrist | 705 Old Trolley Rd, Ste A, Summerville, SC 29485-5212 | 2010-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| Find all providers in zip 29485 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740592237 | Justine Marie Siegers | Optometrist | 121 Lucy Ln, Columbia, SC 29229-7835 | 2010-07-13 |
| 1598923955 | Dr. H. G. Sims, Optometrist | Optometrist | 353 E Blackstock Rd Ste A, Spartanburg, SC 29301-3785 | 2008-06-01 |
| 1275608499 | Norris Rick Philbeck | Optometrist | 9270 N Highway 17, Mc Clellanville, SC 29458-9422 | 2006-11-22 |
| 1477588614 | Kenneth Norman Sawyer IIi | Optometrist | 360 Pelham Rd, Greenville, SC 29615 | 2006-07-12 |
| 1609849389 | Kathleen A. Clary | Optometrist | 10 William Pope Dr Ste 6, Bluffton, SC 29909-7550 | 2006-02-11 |
| 1952305211 | Joseph Edwin Hopkins | Optometrist | 3319 N Main St, Anderson, SC 29621-4113 | 2005-06-01 |
| 1902357791 | Boston Perkins | Optometrist | 1945 W Palmetto St, Suite 111, Florence, SC 29501-3919 | 2016-10-17 |
| 1861803520 | Eyes Over Carolina PC | Optometrist | 1150 S 4th St, Hartsville, SC 29550-0705 | 2014-05-15 |
| 1376787226 | Dr. Gary Shepard, PC | Optometrist | 2035 Whiskey Rd, Walmart Vision Center, Aiken, SC 29803-7956 | 2009-04-22 |
| 1982842308 | Eye Care Specialties Group - West Ashley | Optometrist | 3531 Mary Ader Ave, Suite B, Charleston, SC 29414-5896 | 2009-01-22 |
| Find all providers with the same taxonomy | ||||
| City | SUMMERVILLE |
| Zip Code | 29485 |
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| 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.