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Corydon Edgecomb, OD
NPI 1558382986 · Optometrist · Placerville, CA
Corydon Edgecomb, OD is a Optometrist provider in Placerville, CA (NPI 1558382986).
Provider details
- NPI number
- 1558382986
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4245T (CA)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1287 Broadway
Suite 1
Placerville, CA 95667-5805
Phone: (530) 622-7660
Fax: (530) 622-3753
Street-level locationGet directions
Mailing address
1287 Broadway
Placerville, CA 95667-5805
Registry dates
- Enumerated
- 2006-07-21
- Last updated
- 2010-08-19
Frequently asked questions
- What is Corydon Edgecomb's NPI number?
- Corydon Edgecomb's National Provider Identifier (NPI) is 1558382986, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Corydon Edgecomb's specialty?
- Corydon Edgecomb is listed in the NPPES registry with a primary specialty of Optometrist (Eye and Vision Services Providers).
- Where is Corydon Edgecomb located?
- Corydon Edgecomb's practice location on file with NPPES is 1287 Broadway, Placerville, CA 95667-5805.
- What is Corydon Edgecomb's phone number?
- The practice phone number listed in the NPPES registry for Corydon Edgecomb is (530) 622-7660.
- Is Corydon Edgecomb's NPI active?
- Yes — Corydon Edgecomb's NPI (1558382986) is active in the NPPES registry as of the last update on 2010-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.