Healthcare Provider Details

I. General information

NPI: 1124937735
Provider Name (Legal Business Name): DONNA EDWARDS OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 FOXHUNT DR # 118
BEAR DE
19701-2535
US

IV. Provider business mailing address

8 MARVILO AVE
WILMINGTON DE
19805-2038
US

V. Phone/Fax

Practice location:
  • Phone: 302-239-1933
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberI4-0010152
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: