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Deactivated NPI 1255530754 Deactivated / Inactive NPI Female Practitioner

Sam J Edwards , OPTICIAN

Technician/Technologist - Optician • Oklahoma City, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sam Edwards has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 13, 2007
NPI Deactivation Date July 24, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Sam Edwards, OPTICIAN was a registered Technician/Technologist - Optician practicing in Oklahoma City, OK. Throughout an active medical career spanning 18 years, Sam Edwards provided care at the practice location at 1078 CROSSROADS MALL STE D until profile deactivation on 2025-07-24.

Practice Location & Contact Primary Location

Practice Address

1078 Crossroads Mall Ste D

Oklahoma City, OK 731494202

Telephone 4056317558
Fax 4056310615
Associated Practice Facility / Clinic
🏢 Sam's Crossroads Optical Facility NPI 1386814432

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist - Optician in Oklahoma City, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Oklahoma City, OK (27 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician/Technologist - Optician Primary Specialty

NUCC Taxonomy Code: 156FX1800X

Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 24, 2025

Record deactivated on July 24, 2025

NPI Profile Active November 06, 2007

NPI status registered as active in NPPES database

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Updated Practice Location November 06, 2007

Registered at 1078 CROSSROADS MALL STE D, OKLAHOMA CITY, OK 731494202 (Tel: 4056317558)

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Updated Business Mailing Address November 06, 2007

Registered at 1078 CROSSROADS MALL STE D, OKLAHOMA CITY, OK 731494202 (Tel: 4056317558)

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Provider Name / Credentials Updated November 06, 2007

Recorded as SAM EDWARDS, OPTICIAN

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2007

Technician/Technologist

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Initial NPI Registration & Enumeration July 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255530754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2007
Last Update: November 06, 2007
Deactivation Date: July 24, 2025

Mailing Address

1078 Crossroads Mall Ste D

Oklahoma City, OK 731494202

Phone: 4056317558

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.