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Physician Compare National (NPI:1750459475)

HEALTHCARE PROVIDER: SARA ANNE EDMONS OD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1750459475
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7517982051
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20051013000281
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name EDMONS
Individual professional last name
Provider First Name SARA
Individual professional first name
Provider Middle Name A
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.
Provider Credential Text OD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name BERKELEY NORTHEASTERN STATE UNIVERSITY - COLLEGE OF MEDICINE
Individual professional's medical school
Graduation Year 1995
Individual professional's medical school graduation year
Primary Specialty OPTOMETRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name EYE CONSULTANTS, P.S.
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 8628143492
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 3
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 9911 N NEVADA ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE B
Group Practice or individual's line 2 address
City SPOKANE
Group Practice or individual's city
State WA
Group Practice or individual's state
Zip Code 992181298
Group Practice or individual's zip code (9 digits when available)
Phone Number 5094845710
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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