| Corydon G Edgecomb Od Inc | |
|
1287 Broadway, Placerville, CA 95667-5820 | |
| (530) 622-7660 | |
| (530) 622-3753 |
| Full Name | Corydon G Edgecomb Od Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1287 Broadway, Placerville, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225334683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT 4245 TPA (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Corydon G Edgecomb Od Inc 1287 Broadway, Placerville, CA 95667-5820 Ph: (530) 622-7660 | Corydon G Edgecomb Od Inc 1287 Broadway, Placerville, CA 95667-5820 Ph: (530) 622-7660 |
Dr. Harry Miguel Green, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4641 Missouri Flat Rd, Placerville, CA 95667 Phone: 510-642-0749 | |
Firstsight Vision Services, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4300 Missouri Flat Rd, Placerville, CA 95667 Phone: 560-626-9287 Fax: 530-626-9238 | |
Dr. Ronald James Vardanega, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1287 Broadway, Placerville, CA 95667 Phone: 530-622-1711 Fax: 530-622-5579 | |
Shawn M Mcdonald Od A Professional Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 2802 Mallard Ln, Placerville, CA 95667 Phone: 530-626-8440 | |
Mr. Loren A Polte, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2920 Cold Springs Rd, Suite B, Placerville, CA 95667 Phone: 530-626-7460 Fax: 530-622-0719 | |
Mr. Corydon G Edgecomb, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1287 Broadway, Suite 1, Placerville, CA 95667 Phone: 530-622-7660 Fax: 530-622-3753 |