Individual
MR. CORYDON G EDGECOMB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1287 BROADWAY, SUITE 1, PLACERVILLE, CA 95667-5805
(530) 622-7660
(530) 622-3753
Mailing address
1287 BROADWAY, SUITE 1, PLACERVILLE, CA 95667-5805
(530) 622-7660
(530) 622-3753
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4245T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S00042450
—
CA
Enumeration date
07/21/2006
Last updated
08/19/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us