KIMBERLY A TEDDER (NPI# 1477606945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477606945 |
| Entity Type | Individual |
| Full Name | KIMBERLY A TEDDER |
| Other Name | KIMBERLY A POZZA |
| Credential | O.D. |
| Practice Address |
766 Los Angeles Ave Suite D3 Moorpark CA 93021 |
| Mailing Address |
14159 Oneida Ct Moorpark CA 93021-3565 |
| Practice Telephone | 8055233440 |
| Practice Fax Number | 8055233442 |
| Mailing Telephone | 8055293116 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2008-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 13135T | CA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1477606945 | 05 | |
| ANTHEM BLUE CROSS | 1477606945 | 01 |
| Street Address |
766 LOS ANGELES AVE SUITE D3 |
| City | MOORPARK |
| State | CA |
| Zip Code | 93021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043488547 | Advanced Family Vision Center Inc | Optometrist | 766 Los Angeles Ave, Suite D3, Moorpark, CA 93021 | 2008-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780296608 | Monica Ramos | Optometrist | 766 W Los Angeles Ave D-3, Moorpark, CA 93021 | 2020-08-21 |
| 1356964761 | Allen Taniguchi | Pharmacist | 12476 Spring Creek Rd, Moorpark, CA 93021 | 2020-05-20 |
| 1538701735 | Lynda L. Bickerstaff | Technician | 6439 Cornell Circle, Moorpark, CA 93021 | 2019-10-09 |
| 1801280615 | Rebecca Solares | Marriage & Family Therapist | 301 Science Dr. Ste 235, Moorpark, CA 93021 | 2015-03-19 |
| 1316347792 | Exovie,llc | Durable Medical Equipment & Medical Supplies | 680 Flinn Ave Ste 38, Moorpark, CA 93021 | 2014-09-04 |
| 1982975280 | Niloufar Parya Hosseini | Pharmacist | 12204 Palmer Drive, Moorpark, CA 93021 | 2012-01-18 |
| 1790081966 | Pdap of Ventura County, Inc. | Community/Behavioral Health | 12039 Hertz Street, Moorpark, CA 93021 | 2011-02-04 |
| 1457541708 | John E. Trachsel A Chiropractic Corp. | Chiropractor | 14711 Princeton Ave., Suite #13, Moopark, CA 93021 | 2007-08-01 |
| 1790998193 | Jedediah Huss Dental Corporation | Dentist | 718 Los Angeles Ave, Suite 3, Moorpark, CA 93021 | 2007-05-08 |
| 1790886430 | Matthew Jon Miguelena | Physical Therapist | 13660 Blacksmith Ct, Moorpark, CA 93021 | 2006-09-26 |
| Find all providers in zip 93021 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780296608 | Monica Ramos | Optometrist | 766 W Los Angeles Ave D-3, Moorpark, CA 93021 | 2020-08-21 |
| 1548533631 | Nicole V Le | Optometrist | 766 New Los Angeles Ave Ste D-3, Moorpark, CA 93021-3600 | 2012-02-20 |
| 1932384625 | Arroyo Vista Optometry, P.C. | Optometrist | 252 W Los Angeles Ave Ste G, Moorpark, CA 93021-1890 | 2008-01-01 |
| 1114977089 | Rogers and Osterloh Optometry | Optometrist | 251 W Los Angeles Ave, Moorpark, CA 93021-1869 | 2006-05-11 |
| 1033182829 | John William Wood | Optometrist | 252 W Los Angeles Ave, Suite G, Moorpark, CA 93021-1888 | 2006-02-10 |
| 1063935880 | Annie Hovakemian | Optometrist | 4279 Tierra Rejada Rd, Moorpark, CA 93021-3775 | 2017-07-24 |
| 1124575568 | James Yoo Od PC | Optometrist | 800 New Los Angeles Ave, Moorpark, CA 93021-3585 | 2016-09-01 |
| 1740441336 | Moorpark Optometric Eyecare, Inc | Optometrist | 252 W Los Angeles Ave, Ste G, Moorpark, CA 93021-1888 | 2008-06-17 |
| 1043488547 | Advanced Family Vision Center Inc | Optometrist | 766 Los Angeles Ave, Suite D3, Moorpark, CA 93021 | 2008-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183428 | Ashley Park | Optometrist | 386 S Green Valley Rd Ste 2, Watsonville, CA 95076-3007 | 2020-10-30 |
| 1053911842 | Michael Guerret | Optometrist | 4130 N Viking Way # 110, Long Beach, CA 90808-1402 | 2020-10-29 |
| 1912506155 | Minati Desai Acharya, O.d., Optometric Corporation | Optometrist | 117 Pelton Center Way, San Leandro, CA 94577-4815 | 2020-10-20 |
| 1740888627 | Jennifer Ngo | Optometrist | 3217 W 153rd St, Gardena, CA 90249-4011 | 2020-10-13 |
| 1649878521 | Jennie Lin | Optometrist | 12914 Cranleigh St, Cerritos, CA 90703-7245 | 2020-10-13 |
| 1962009464 | Jyoti Patel | Optometrist | 1701 Gaffey St., San Pedro, CA 90731 | 2020-10-07 |
| 1114524196 | Kenneth E. Sweeney, O.d., Inc. | Optometrist | 825 Pollard Rd Ste 208, Los Gatos, CA 95032-1435 | 2020-10-03 |
| 1316544364 | Chelsey Kimiko Honma | Optometrist | 3151 Airway Ave Ste M3, Costa Mesa, CA 92626-4626 | 2020-10-02 |
| 1437766920 | Mary Mekhael | Optometrist | 5901 Center Dr Apt 456, Los Angeles, CA 90045-8969 | 2020-09-28 |
| 1013524677 | Jennifer Dang, O.d., A Professional Corporation | Optometrist | 301 S Western Ave Ste 103, Los Angeles, CA 90020-3816 | 2020-09-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.