JUSTIN ROBERT EDWARDS (NPI# 1730657388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730657388 |
| Entity Type | Individual |
| Full Name | JUSTIN ROBERT EDWARDS |
| Credential | OPTICIAN |
| Practice Address |
5399 W Genesee St Camillus NY 13031-2265 |
| Practice Telephone | 3154682745 |
| Practice Fax Number | 3154682786 |
| Mailing Telephone | 3154682745 |
| Mailing Fax Number | 3154682786 |
| Enumeration Date | 2018-11-12 |
| Last Update Date | 2018-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
C009325 | NY | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851928485 | Justin Wayne Edwards | Student in an Organized Health Care Education/Training Program | 9260 W Sunset Rd Ste 110, Las Vegas, NV 89148-4903 | 2020-03-24 |
| 1982072229 | Justin Edwards | Counselor | 1409 Clark St, Des Moines, IA 50314-1964 | 2015-09-03 |
| 1184023400 | Justin G. Edwards | Physician Assistant | 979 E 3rd St Ste C225, Chattanooga, TN 37403-3314 | 2014-08-22 |
| 1699906255 | Justin S Edwards | Dentist | 2113 Hartford Rd, Hampton, VA 23666-2575 | 2009-07-30 |
| 1144429630 | Justin Reid Edwards | Family Medicine | 101 Heart Drive, Ecu Physicians Family Practice Center, Greenville, NC 27834-4300 | 2007-07-13 |
| Street Address |
5399 W GENESEE ST |
| City | CAMILLUS |
| State | NY |
| Zip Code | 13031-2265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962429035 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5399 W Genesee St, Camillus, NY 13031-2265 | 2006-07-16 |
| 1043726672 | George Scott Harris Jr. | Technician/Technologist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2017-12-19 |
| 1205243011 | Dung T Dang | Pharmacist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2014-07-14 |
| 1285945212 | Kimberly Ann Parker | Pharmacist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2010-06-24 |
| 1730401357 | Lisa Marie Adornato | Pharmacist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2010-02-23 |
| 1679800155 | Chong Ki Kim | Pharmacist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2009-11-04 |
| 1598942369 | Charles Vincent Lapp | Pharmacist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2008-01-23 |
| 1184800153 | Michael Joseph Perrone | Pharmacist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2008-01-21 |
| 1376726638 | Lori Ann Guereschi | Pharmacist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2007-12-10 |
| 1083893903 | Angela Marie Pagorek | Pharmacist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2007-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194361337 | Marsha Reedy | Registered Nurse | Baldwinsville Schools, 29 East Oneida Street, Baldwinsville, NY 13031 | 2019-11-22 |
| 1821632167 | Romans Soltani Dentistry, Pllc | Dentist | 5426 W. Genesee Street, Camillus, NY 13031 | 2019-10-30 |
| 1174178859 | Abigail Marie Brunner | Nurse Practitioner | 208 Township Blvd, Suite 100, Camillus, NY 13031 | 2019-08-08 |
| 1649779547 | Claire Isaacson | Counselor | 6000 W Genesee St Ste 400, Camillus, NY 13031 | 2018-02-06 |
| 1811426190 | At Home Independent Living, Inc. | In Home Supportive Care | 4464 Milton Ave, Syracuse, NY 13031 | 2017-06-08 |
| 1548643471 | Podiatry Services of Central New York, PC | Podiatrist | 4912 West Genesee Street, Camillus, NY 13031 | 2015-07-09 |
| 1023497203 | New York Anesthesiology Medical Specialties, PC | Pain Medicine | 5417 West Genesee Street, Suite 1, Camillus, NY 13031 | 2015-05-21 |
| 1194130377 | Costco Wholesale Corporation | Pharmacy | 120 Township Blvd, Camillus, NY 13031 | 2014-06-25 |
| 1487084976 | Todd Ray | Social Worker | 6000 W Genesee St, Camillus, NY 13031 | 2013-11-19 |
| 1093045155 | Rebecca Mae Goal Carroll | Physical Therapist | 5417 W Genesee St, Camillus, NY 13031 | 2010-01-12 |
| Find all providers in zip 13031 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497803035 | Stephen Charles Downing | Technician/Technologist | 104 Kasson Rd, Camillus, NY 13031-2248 | 2007-01-08 |
| 1043726672 | George Scott Harris Jr. | Technician/Technologist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2017-12-19 |
| 1346331535 | Kelvin Barnard | Technician/Technologist | 5633 W Genesee St, Camillus, NY 13031-1324 | 2006-09-27 |
| 1447341649 | John Lobdell | Technician/Technologist | 5633 W Genesee St, Camillus, NY 13031-1324 | 2006-09-27 |
| 1619080074 | Wal-mart Stores East, Lp | Technician/Technologist | 5399 W Genesee St, Camillus, NY 13031-2265 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202628 | Smart Vision Care Inc. | Technician/Technologist | 5107 108th St # B, Corona, NY 11368-3304 | 2020-10-14 |
| 1396350757 | Galo Andrade II | Technician/Technologist | 123 State Route 94 S Ste 2, Warwick, NY 10990-3664 | 2020-09-12 |
| 1962016022 | Mathilde Brecy | Technician/Technologist | 248 Columbus Ave, New York, NY 10023-3331 | 2020-09-04 |
| 1417566258 | Neziah Maloney | Technician/Technologist | 43 President St, Huntington Station, NY 11746-2345 | 2020-07-28 |
| 1689290199 | Akeel Adil | Technician/Technologist | 9142 82nd St, Jamaica, NY 11421-2914 | 2020-06-20 |
| 1588289292 | Vision Express Optix Inc | Technician/Technologist | 98106 Queens Blvd, Rego Park, NY 11374-4354 | 2020-06-09 |
| 1942821749 | Frank Panzarella | Technician/Technologist | 364 Vermont St, Lindenhurst, NY 11757-5241 | 2020-05-03 |
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1023644291 | Martha Canon | Technician/Technologist | 1440 Broadway # 10826, New York, NY 10018-2301 | 2020-03-19 |
| 1619500964 | Raphael Optical Inc. | Technician/Technologist | 303 Wyckoff Ave, Brooklyn, NY 11237-5805 | 2020-02-14 |
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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.