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LOMA LINDA OPTOMETRY
NPI 1811236490
Clinic/Center - Primary Care in Loma Linda, CA

Active since February 03, 2013CLIA 05D2133531 · Waiver
25815 BARTON RD, SUITE 104, LOMA LINDA, CA 92354(909) 478-3345(909) 478-9337 Get Directions Write a Review

NPPES record last updated: February 3, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Loma Linda Optometry NPPES

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

LOMA LINDA OPTOMETRY (NPI 1811236490) is a healthcare organization registered as a primary care in Loma Linda, California and active in the NPI registry since February 2013. The organization holds a CLIA Waiver certificate valid through July 13, 2027 and lists Douglas Soderblom, Owner, as its authorized official.

NPPES Registry Identity

NPI1811236490
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDOUGLAS SODERBLOM, O.D.
Location Address25815 BARTON RD, SUITE 104Loma Linda, CA 92354-3893
Mailing Address25815 Barton Rd, Suite 104Loma Linda, CA 92354-3893 · (909) 478-3345 · Fax (909) 478-9337
Phone(909) 478-3345
Fax(909) 478-9337
Organization SubpartNo
Authorized OfficialDouglas SoderblomOwner · (909) 478-3345
Enumeration DateFebruary 3, 2013
✔ NPI 1811236490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · 10169TG
25815 BARTON RD, Loma Linda, CA 92354
Open in Google Maps ↗

Other Names 1

Doing Business AsLoma Linda Optometry

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2133531

Loma Linda Optometry Inc · Loma Linda, CA
Active · expires Jul 13, 2027
CLIA Number05D2133531
Laboratory TypePhysician Office
Certificate Effective DateJuly 14, 2025
Certificate Expiration DateJuly 13, 2027
Laboratory DirectorDouglas Soderblom, Od
Laboratory Phone(909) 478-3345
Laboratory LocationLoma Linda Optometry Inc25815 Barton Rd Ste C104, Loma Linda, CA 92354
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

DR. DOUGLAS SODERBLOM O.D.
Optometrist
25815 BARTON RD, SUITE 104
LOMA LINDA, CA 92354
San Bernardino County (909) 478-3345
DR. TERESA PFIEFLE AVANTS M.D.
Obstetrics & Gynecology
25815 BARTON RD, SUITE C103
LOMA LINDA, CA 92354
San Bernardino County (909) 799-8620
DR SOLIMAN AND DR RIZKALLA HOSPITALIS
Non-Pharmacy Dispensing Site
25815 BARTON RD, SUITE 102
LOMA LINDA, CA 92354
San Bernardino County (909) 478-1100
JCM CONSULTING, LLC
Clinic/Center
25815 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 799-8620
PETER SORIAL SOLIMAN M.D., MPH
Internal Medicine
25815 BARTON RD, STE 102
LOMA LINDA, CA 92354
San Bernardino County (909) 478-1000
SOLIMAN-RIZKALLA CLINIC, INC.
Internal Medicine
25815 BARTON RD
LOMA LINDA, CA 92354
San Bernardino County (909) 478-1100
CHRISTINA KARRAS P.A.-C
Physician Assistant (Medical)
25815 BARTON RD, SUITE 101
LOMA LINDA, CA 92354
San Bernardino County (909) 796-0224

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 Douglas Soderblom, O.D.'s NPI number?

The NPI number for Douglas Soderblom, O.D. is 1811236490. It was assigned to this organization in the NPPES registry on February 3, 2013. The provider is doing business as Loma Linda Optometry.

Where is Douglas Soderblom, O.D. located?

Douglas Soderblom, O.D. is located at 25815 Barton Rd Suite 104, Loma Linda, CA 92354. The listed phone number is (909) 478-3345.

What is Douglas Soderblom, O.D.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Douglas Soderblom, O.D. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2133531) is associated with this NPI, valid through July 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Douglas Soderblom, O.D. was last updated on February 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.