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Deactivated NPI 1316901648 Deactivated / Inactive NPI Male Practitioner

Dr. Ronald James Vardanega , OD

Optometrist • Placerville, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Ronald Vardanega has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 13, 2006
NPI Deactivation Date July 24, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Ronald Vardanega, OD was a registered Optometrist practicing in Placerville, CA. Throughout an active medical career spanning 19 years, Dr. Vardanega provided care at the practice location at 1287 BROADWAY until profile deactivation on 2025-07-24.

Historical Medicare Part B clinical services included established patient complete exam of visual system, new patient complete exam of visual system, outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1287 Broadway

Placerville, CA 95667

Telephone 5306221711
Fax 5306225579
Associated Practice Facility / Clinic
🏢 Corydon G Edgecomb Od Inc Facility NPI 1225334683

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Placerville, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.7 Yrs
State Avg: 21.9 Yrs
Regional Practice Density
11 Specialists

Practicing in Placerville, CA (8588 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
12.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
15 15 $155.00 $136.36

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License CA 8340

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1558382986

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 24, 2025

Record deactivated on July 24, 2025

NPI Profile Active April 08, 2009

NPI status registered as active in NPPES database

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Updated Practice Location April 08, 2009

Registered at 1287 BROADWAY, PLACERVILLE, CA 95667 (Tel: 5306221711)

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Updated Business Mailing Address April 08, 2009

Registered at 1287 BROADWAY, PLACERVILLE, CA 95667 (Tel: 5306221711)

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Provider Name / Credentials Updated April 08, 2009

Recorded as RONALD VARDANEGA, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2009

Optometrist (License #8340 in CA)

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Initial NPI Registration & Enumeration April 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1316901648
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2006
Last Update: April 08, 2009
Deactivation Date: July 24, 2025

Mailing Address

1287 Broadway

Placerville, CA 95667

Phone: 5306221711

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.