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Contact Information

ROBERT E EDGE, OD
1206 COLLEGE AVE
JACKSON, AL36545-2407
 Phone: 251-246-3231
 Fax: 251-246-3034
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ROBERT E EDGE · (Male)

NPI # 1659374361
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 05/27/2005
Last updated 11/19/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • AL License # S412TA033
  • AL Other 4386054 AETNA PROVIDER #
  • AL Other 51076025 BLUE CROSS OF AL PROV #
  • AL Other T69193 HEALTHSPRING PROVIDER #
  • AL Other 2210129 UNITED HEALTHCARE PROV #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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