Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CORYDON G EDGECOMB, OD
Active Sole ProprietorMR. CORYDON G EDGECOMB, OD is a Optometrist healthcare provider located in PLACERVILLE, California. NPI 1558382986 is currently active in the NPPES registry. Verify at CMS.
Optometrist · PLACERVILLE, CA
Registration Details
- NPI Number
- 1558382986
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 21, 2006 (20.058207878234 yrs)
- Last Updated
- Aug 19, 2010
- License
-
4245T (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1287 BROADWAYSUITE 1PLACERVILLE, CA, 956675805Browse CA providers · Browse ZIP 95667
- Phone
- 5306227660
- Fax
- 5306223753
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in PLACERVILLE, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL JOSEPH ZIRHUT | O.D. | 1952394900 |
| MR. LOREN A POLTE | OD | 1508850132 |
| DR. BRETT WENDELL PERKINS | O.D. | 1487725032 |
| DR. SHAWN MITCHELL MCDONALD | OD | 1710037445 |
| WILLIAM STACY | O.D. | 1750424461 |
| DR. TAM-AN NGUYEN | O.D. | 1114126927 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.