IndividualActive
Frederick Edmunds, O.D.
NPI 1104991660 · Sports Vision Optometrist · Victor, NY
Provider details
- NPI number
- 1104991660
- Entity type
- Individual
- Primary specialty
- Sports Vision OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4397 (NY)
Mailing address
7745 Peepers Holw
Victor, NY 14564-8914
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2023-07-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.