Tedder Optometric Corporation, PC
NPI 1679262158ActiveOrganization· Optometrist· Lake Forest, CA
Optometrist in Lake Forest, California, registered in NPPES in May 2023. The authorized official on file is Dolsie McDonald, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1679262158 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 2, 2023 |
| Last updated in NPPES | Feb 17, 2026 |
| Certified by provider | Feb 17, 2026 |
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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All 24 optometrists in Lake Forest · All optometrists in California