Edwards, Robert A

Edwards, Robert A is an individual health care provider with primary practice located at 506 Beltrami Ave Nw , Bemidji MN 56601-3010. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Edwards, Robert A can be contacted via phone (218) 751-2020.

Contact Information

Primary practice address
506 Beltrami Ave Nw Bemidji MN 56601-3010
Phone: (218) 751-2020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1534 Minnesota
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 1534 Minnesota

Profile Details

NPI number 1508903253
LBN Legal business name Edwards, Robert A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jan 18th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508903253 NPPES
Minnesota MEDICAID 830723700

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