Tedder Optometry Group, PC
NPI 1184484222ActiveOrganization· Optometrist· San Dimas, CA
Optometrist in San Dimas, California, registered in NPPES in March 2024. The authorized official on file is Kimberly Tedder, OD, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1184484222 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 19, 2024 |
| Last updated in NPPES | Sep 23, 2024 |
| Certified by provider | Sep 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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