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.

IndividualActive

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

OptometristPrimary152W00000XLicense 4245T (CA)
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

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Mailing address