Tedder Optometric Clinic Management, P.C.
NPI 1851091805ActiveOrganization· Optometrist· Fontana, CA
Optometrist in Fontana, California, registered in NPPES in March 2023. The authorized official on file is Taylor Dean Tedder, OD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1851091805 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 8, 2023 |
| Last updated in NPPES | Aug 25, 2025 |
| Certified by provider | Aug 25, 2025 |
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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