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MR. CORYDON G EDGECOMB OD
NPI 1558382986
Optometrist in Placerville, CA

Active since July 21, 2006
1287 BROADWAY, SUITE 1, PLACERVILLE, CA 95667(530) 622-7660(530) 622-3753 Get Directions Write a Review

NPPES record last updated: August 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Corydon G Edgecomb Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CORYDON G EDGECOMB OD (NPI 1558382986) is an individual optometrist in Placerville, California, licensed in California (4245T) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1558382986
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMR. CORYDON G EDGECOMBCredential: OD
Location Address1287 BROADWAY, SUITE 1Placerville, CA 95667-5805
Mailing Address1287 Broadway, Suite 1Placerville, CA 95667-5805 · (530) 622-7660 · Fax (530) 622-3753
Phone(530) 622-7660
Fax(530) 622-3753
Sole ProprietorYes
Enumeration DateJuly 21, 2006
Last NPPES UpdateAugust 19, 2010
✔ NPI 1558382986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 4245T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1287 BROADWAY, Placerville, CA 95667
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Other Identifiers 4

Medicare UPINT09607
Medicare ID-Type UnspecifiedS00042450CA
MedicaidS00042450CA
Medicare NSC0936030001CA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CORYDON G EDGECOMB OD INC
Optometrist
1287 BROADWAY
PLACERVILLE, CA 95667
El Dorado County (530) 622-7660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corydon Edgecomb's NPI number?

The NPI number for Corydon Edgecomb is 1558382986. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Corydon Edgecomb located?

Corydon Edgecomb practices at 1287 Broadway Suite 1, Placerville, CA 95667. The listed phone number is (530) 622-7660.

What is Corydon Edgecomb's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Corydon Edgecomb was last updated on August 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.