| Tedder Optometry Group, Pc | |
|
939 W Arrow Hwy, San Dimas, CA 91773-2410 | |
| (805) 624-1255 | |
| Not Available |
| Full Name | Tedder Optometry Group, Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 939 W Arrow Hwy, San Dimas, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184484222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Taylor D Tedder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639364532 PECOS PAC ID: 6406944891 Enrollment ID: I20071119000405 |
| Provider Name | Jeanie Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043857832 PECOS PAC ID: 8527590678 Enrollment ID: I20241015001547 |
| Provider Name | James Abel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255945390 PECOS PAC ID: 5799190690 Enrollment ID: I20241104002498 |
| Mailing Address | Practice Location Address |
|---|---|
| Tedder Optometry Group, Pc 530 New Los Angeles Ave Ste 115-269, Moorpark, CA 93021-2081 Ph: (805) 624-1255 | Tedder Optometry Group, Pc 939 W Arrow Hwy, San Dimas, CA 91773-2410 Ph: (805) 624-1255 |
Melissa Zhao, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 425 W Bonita Ave, San Dimas, CA 91773 Phone: 909-394-0462 | |
Dr. Abigayle Ancheta Gutierrez, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 120 W Bonita Ave Ste A, San Dimas, CA 91773 Phone: 909-599-1100 | |
Suzan Burmayan, O.d., A Professional Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 120 W Bonita Ave Ste A, San Dimas, CA 91773 Phone: 909-599-1100 | |
Dr. Elizabeth M Tsay, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 425 W Bonita Ave Ste 110b, San Dimas, CA 91773 Phone: 909-394-0462 | |
Justin Hua, Optometrist Medicare: Medicare Enrolled Practice Location: 520 N Lone Hill Ave, San Dimas, CA 91773 Phone: 909-962-5518 | |
Dr. Grant Andrew Paul, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 963 W Arrow Hwy, San Dimas, CA 91773 Phone: 909-592-5666 |