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Deactivated NPI 1760583249 Deactivated / Inactive NPI Male Practitioner

Dr. Timothy Lee Edwards , OD

Optometrist • Stafford, VA

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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, Dr. Timothy Edwards has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 26, 2006
NPI Deactivation Date February 04, 2019
Total Practice Duration ~13 Years of Practice (2006 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Timothy Edwards, OD was a registered Optometrist practicing in Stafford, VA. Throughout an active medical career spanning 13 years, Dr. Edwards provided care at the practice location at 217 GARRISONVILLE RD until profile deactivation on 2019-02-04.

Historical Medicare Part B clinical services included new patient complete exam of visual system, established patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

217 Garrisonville Rd

Stafford, VA 225541527

Telephone 5406596983
Associated Practice Facility / Clinic
🏢 National Vision, Inc. Facility NPI 1114966504

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Stafford, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.4 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
11 Specialists

Practicing in Stafford, VA (1522 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
23.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92004 New patient complete exam of visual system
51 51 $200.00 $146.85
92014 Established patient complete exam of visual system
42 42 $152.62 $122.76

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License VA 0618000314

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1245888932

Doctor of Optometry

NPI 1265682678

Doctor of Optometry

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 February 04, 2019

Record deactivated on February 04, 2019

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 217 GARRISONVILLE RD, STAFFORD, VA 225541527 (Tel: 5406596983)

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Updated Business Mailing Address July 08, 2007

Registered at 7430 DICKENSON ST, SPRINGFIELD, VA 221503808 (Tel: 5406596983)

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Provider Name / Credentials Updated July 08, 2007

Recorded as TIMOTHY EDWARDS, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #0618000314 in VA)

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Initial NPI Registration & Enumeration September 26, 2006

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: 1760583249
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2006
Last Update: July 08, 2007
Deactivation Date: February 04, 2019

Mailing Address

7430 Dickenson St

Springfield, VA 221503808

Phone: 5406596983

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.