John Edmonds (NPI# 1164432993, PAC ID# 3971637356) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1164432993 |
| PAC ID by PECOS | 3971637356 |
| Professional Enrollment ID | I20101025001281 |
| Full Name | John Edmonds |
| Organization Legal Name | TIDEWATER EYE CENTER SPC |
| Address |
3235 Academy Ave Suite 200 Portsmouth VA 23703-3200 |
| Phone Number | 7574830400 |
| Gender | M |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 1987 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 7719938679 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 | 7574830400 | TIDEWATER EYE CENTER SPC |
| Organization Legal Name | TIDEWATER EYE CENTER SPC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark J Iacobucci | Ophthalmology | Tidewater Eye Center Spc | 805 N Battlefield Blvd, Suite 111, Chesapeake, VA 23320-4878 |
| Mary Alison Mercer | Optometry | Tidewater Eye Center Spc | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 |
| Roger W Newsom | Ophthalmology | Tidewater Eye Center Spc | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 |
| Mark A Pavilack | Ophthalmology | Tidewater Eye Center Spc | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 |
| Kori Elkins | Ophthalmology | Tidewater Eye Center Spc | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 |
| Joy Catherine Tomko | Optometry | Tidewater Eye Center Spc | 805 N Battlefield Blvd, Suite 111, Chesapeake, VA 23320-4878 |
| Wayne R Devantier | Ophthalmology | Tidewater Eye Center Spc | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 |
| Leonard A Rappaport | Ophthalmology | Tidewater Eye Center Spc | 805 N Battlefield Blvd, Suite 111, Chesapeake, VA 23320-4878 |
| Street Address |
3235 ACADEMY AVE SUITE 200 |
| City | PORTSMOUTH |
| State | VA |
| Zip | 23703-3200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Alison Mercer | Optometry | Tidewater Eye Center Spc | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 |
| Roger W Newsom | Ophthalmology | Tidewater Eye Center Spc | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 |
| Parimal J Soni | Internal Medicine | 3235 Academy Ave, Suite 300, Portsmouth, VA 23703-3200 | |
| Krunal Manubhai Patel | Nephrology | Portsmouth Nephrology PC | 3235 Academy Ave, Suite 301, Portsmouth, VA 23703-3200 |
| Mark A Pavilack | Ophthalmology | Tidewater Eye Center Spc | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 |
| Kori Elkins | Ophthalmology | Tidewater Eye Center Spc | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 |
| Frederick C Crum | Family Medicine | Churchland Family Medicine PC | 3235 Academy Ave, Suite 101, Portsmouth, VA 23703-3200 |
| Relindis Nsofon Mutia | Nurse Practitioner | Portsmouth Nephrology PC | 3235 Academy Ave, Suite 301, Portsmouth, VA 23703-3200 |
| Wayne R Devantier | Ophthalmology | Tidewater Eye Center Spc | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 |
| David H Cyr | Emergency Medicine | Churchland Family Medicine PC | 3235 Academy Ave, Suite 101, Portsmouth, VA 23703-3200 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric J Goldberg | Neurology | Tidewater Neurologists Inc | 3235 Academy Ave, Portsmouth, VA 23703-3200 |
| Margaret M Stiles | Family Medicine | Churchland Family Medicine PC | 3235 Academy Ave, Suite 101, Portsmouth, VA 23703-3200 |
| Keith Zaitoun | Nephrology | Portsmouth Nephrology PC | 3235 Academy Ave, Suite 301, Portsmouth, VA 23703-3200 |
| Hemang H Shah | Neurology | Tidewater Neurologists Inc | 3235 Academy Ave, Portsmouth, VA 23703-3200 |
| Antonietta Manaco Castanares | Nephrology | Portsmouth Nephrology PC | 3235 Academy Ave, Suite 301, Portsmouth, VA 23703-3200 |
| Syed H Rahman | Neurology | 3235 Academy Ave, Portsmouth, VA 23703-3200 | |
| Kenneth L Labasky | Clinical Social Worker | Churchland Psychiatric Associates PC | 3300 Academy Ave, Portsmouth, VA 23703-3205 |
| William J Duane | Psychologist, Clinical | Churchland Psychiatric Associates PC | 3300 Academy Ave, Portsmouth, VA 23703-3205 |
| John Haddaway | Clinical Social Worker | Churchland Psychiatric Associates PC | 3300 Academy Ave, Portsmouth, VA 23703-3205 |
| Karen L Mckinley | Clinical Social Worker | Churchland Psychiatric Associates PC | 3300 Academy Ave, Portsmouth, VA 23703-3205 |
| Find all physicians in zip 23703 | |||
| City | PORTSMOUTH |
| Zip Code | 23703 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | PORTSMOUTH + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on John Edmonds.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.