Organization Active NPI

Loma Linda Optometry Inc

  • Optometrist
  • Loma Linda, CA
National Provider Identifier
1881504876
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LOMA LINDA OPTOMETRY INC
Practice address
25815 Barton Rd Ste C104
Loma Linda, CA 92354-3893
Phone
(909) 478-3345
Fax
(909) 478-9337
NPI assigned
Sep 10, 2026
Last updated
Oct 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Douglas Kevin Soderblom, ODNPI 1134190747
Title
Owner/Optometrist
Phone
(909) 478-3345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

25815 Barton Rd Ste C104
Loma Linda, CA 92354-3893

Mailing address

25815 Barton Rd Ste C104
Loma Linda, CA 92354-3893
Phone (909) 478-3345

National Provider Directory

National Provider Directory

Locations

25815 Barton Rd
Ste C104
Loma Linda, CA 92354

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1881504876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25815 BARTON RD STE C104",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543893",
            "telephone_number": "909-478-3345",
            "fax_number": "909-478-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25815 BARTON RD STE C104",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543893",
            "telephone_number": "909-478-3345",
            "fax_number": "909-478-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA LINDA OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "SODERBLOM",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "909-478-3345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.