Tedder Optometric Clinic Management, P.C.
NPI 1851091805 · Optometrist · Fontana, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tedder Optometric Clinic Management, P.C. is a Optometrist organization in Fontana, CA (NPI 1851091805).
Provider details
- NPI number
- 1851091805
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Taylor Tedder, President(805) 624-1255
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 15268 Summit AveFontana, CA 92336-0234Phone: (805) 624-1255
- 530 New Los Angeles Ave Ste 115-269Moorpark, CA 93021-2081Phone: (805) 624-1255
Registry dates
- Enumerated
- 2023-03-08
- Last updated
- 2025-08-25
- Certified
- 2025-08-25
Frequently asked questions
- What is Tedder Optometric Clinic Management, P.C.'s NPI number?
- Tedder Optometric Clinic Management, P.C.'s National Provider Identifier (NPI) is 1851091805, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tedder Optometric Clinic Management, P.C.?
- Tedder Optometric Clinic Management, P.C. is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Tedder Optometric Clinic Management, P.C. located?
- Tedder Optometric Clinic Management, P.C.'s practice location on file with NPPES is 17064 Slover Ave Ste 104, Fontana, CA 92337-7592.
- What is Tedder Optometric Clinic Management, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Tedder Optometric Clinic Management, P.C. is (909) 258-4620.
- Does Tedder Optometric Clinic Management, P.C. accept Medicare?
- Tedder Optometric Clinic Management, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tedder Optometric Clinic Management, P.C.?
- The authorized official listed on Tedder Optometric Clinic Management, P.C.'s NPPES record is Taylor Tedder, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tedder Optometric Clinic Management, P.C.'s NPI active?
- Yes — Tedder Optometric Clinic Management, P.C.'s NPI (1851091805) is active in the NPPES registry as of the last update on 2025-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.