Kimberly A. Tedder, O.D.
NPI 1477606945ActiveIndividual· Optometrist· Moorpark, CA
Optometrist (O.D.) in Moorpark, California, trained at Illinois College of Optometry at Chicago (class of 2006). Mostly services rather than prescriptions: Medicare paid $8,515 for 85 patients in 2024, with only 13 Part D claims. Alcon Vision LLC reported $13.41 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1477606945 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | Jan 19, 2007 |
| Last updated in NPPES | Oct 7, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 13135T | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 85 |
|---|---|
| Services billed | 145 across 9 procedure codes |
| Paid by Medicare | $8,515 |
Part D prescriptions in 2024
| Prescriptions (claims) | 13 · 28 30-day fills |
|---|---|
| Patients | 11 |
| Total drug cost | $3,848 |
Education and affiliations
| Medical school | Illinois College of Optometry at Chicago |
|---|---|
| Graduation year | 2006 |
| Medicare specialty | Optometry |
Medical group
- Advanced Family Vision Center IncMoorpark, CA · 2 clinicians
Industry payments (Open Payments)
- 2024$13.41 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Alcon Vision LLC | $13.41 | 1 |
What the 2024 payments were for
- Food and Beverage$13.41 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Optometrist providers in Moorpark
- 1043488547
- 1932384625
- 1649080623
- 1740441336
- 1114977089
- 1669158606
- 1063935880
- 1548533631
- 1780296608
- 1639364532
- 1033182829