Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Edmond Hartley Thall, MD

Individual provider Ophthalmology Physician · NPI 1063475358

Dr. Edmond Hartley Thall, MD is an Ophthalmology in Highland Heights, Ohio. Graduated from Perelman School of Med at the University of Pennsylvania in 1981, 45 years ago. Practices with Vision Innovation Centers of Pennsylvania LLC, a 86-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
45
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
ND
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

223 Grappa Farms Dr
Highland Heights, OH 44143-3720
Phone: (231) 220-5369
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 620 N 9th St, Bismarck, ND 58501-4112 — (701) 222-2020

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence LT23941 (ND)

Record details

NPI number1063475358
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 9, 2006
Last updated in NPPESMarch 4, 2026
Certification dateMarch 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 1981 (45 years in practice)
Group practice Vision Innovation Centers Of Pennsylvania Llc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Highland Heights