Mr. Corydon G Edgecomb is a Placerville, California based male Optometrist who is specialized in Optometry. Active license number of Mr. Corydon G Edgecomb is 4245T for Optometry in California. Mr. Corydon G Edgecomb 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Mr. Corydon G Edgecomb speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Gender:
Male
Practice Address:
1287 Broadway, Suite 1, Placerville, California, 95667-5805
Phone:
530-622-7660
Fax:
530-622-3753
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1558382986
NPI Enumeration Date:
21 Jul, 2006
NPI Last Update On:
19 Aug, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Corydon G Edgecomb are as mentioned below.
License Number
Specialization
State
Status
4245T
Optometry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Corydon G Edgecomb such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
S00042450
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1287 Broadway, Suite 1 Placerville, California
Zip:
95667-5805
Phone Number:
530-622-7660
Fax Number:
530-622-3753
Patients can reach Mr. Corydon G Edgecomb at 1287 Broadway, Suite 1, Placerville, California or can call to book an appointment on 530-622-7660. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.