Jeremy Edgerly, Od, LLC
NPI 1679290332ActiveOrganization· Optometrist· Mountain Brook, AL
Optometrist in Mountain Brook, Alabama, registered in NPPES in October 2022. The authorized official on file is Jeremy Daniel Edgerly, OD, Sole Member/Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679290332 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 24, 2022 |
| Last updated in NPPES | Oct 24, 2022 |
| Certified by provider | Oct 18, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL) |
|---|
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