NPI 1679556484 · live from the CMS NPI Registry
Douglas T. Edwards, M.D.
Ophthalmology in Wausau, WI. National Provider Identifier 1679556484, active.
NPI record
| NPI | 1679556484 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 800 N 1st St, Wausau, WI 54403 |
| Practice phone | 715-261-8500 |
| Enumerated | November 25, 2005 |
| Last updated | October 7, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 45495 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.