Brendan Tyler Edmonds, OD
NPI 1205764438ActiveIndividual· Optometrist· Davison, MI
Optometrist (OD) in Davison, Michigan, trained at Ferris State College - College of Optometry (class of 2026). Enrolled in Medicare as practitioner - optometry.
Overview
| NPI | 1205764438 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | No |
| NPI issued | May 9, 2026 |
| Last updated in NPPES | Jul 8, 2026 |
| Certified by provider | Jul 8, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 4901005963 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (MI) |
|---|
Education and affiliations
| Medical school | Ferris State College - College of Optometry |
|---|---|
| Graduation year | 2026 |
| Medicare specialty | Optometry |
Medical group
- Pco PCDavison, MI · 4 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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