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ADVANCED FAMILY VISION
NPI 1043488547
Optometrist in Moorpark, CA

Active since February 19, 2008
766 LOS ANGELES AVE, SUITE D3, MOORPARK, CA 93021(805) 624-1254 Get Directions Write a Review

NPPES record last updated: February 19, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Advanced Family Vision NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED FAMILY VISION (NPI 1043488547) is a healthcare organization registered as an optometrist in Moorpark, California and active in the NPI registry since February 2008. The organization lists Kimberly Ann Tedder, Optometrist-owner, as its authorized official.

NPPES Registry Identity

NPI1043488547
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameADVANCED FAMILY VISION CENTER INC
Location Address766 LOS ANGELES AVE, SUITE D3Moorpark, CA 93021
Mailing Address766 Los Angeles Ave, Suite D3Moorpark, CA 93021
Phone(805) 624-1254
Organization SubpartNo
Authorized OfficialKimberly Ann TedderOptometrist-owner · (805) 524-1254
Enumeration DateFebruary 19, 2008
✔ NPI 1043488547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 13135
Definition
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.
766 LOS ANGELES AVE, Moorpark, CA 93021
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Other Names 1

Doing Business AsAdvanced Family Vision

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Family Vision is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Advanced Family Vision, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Monica Ramos
Optometry
NPI 1780296608
766 W LOS ANGELES AVE D-3
Moorpark, CA 93021
(805) 523-3440
✔ PECOS0.1 mi
Kimberly Tedder, O.D.
Optometry
NPI 1477606945
766 LOS ANGELES AVE SUITE D3
Moorpark, CA 93021
(805) 523-3440
✔ PECOS✔ Accepts Medicare0.1 mi
Kristina Dea, OD
Optometry
NPI 1669158606
766 NEW LOS ANGELES AVE STE D-3
Moorpark, CA 93021
(805) 523-3440
✔ PECOS✔ Accepts Medicare2.6 mi
Nicole Le, O.D.
Optometry
NPI 1548533631
766 NEW LOS ANGELES AVE STE D-3
Moorpark, CA 93021
(805) 523-3440
✔ PECOS✔ Accepts Medicare2.6 mi
Sally Hansen, O.D.
Optometry
NPI 1770951048
590 HARBOR ST
Morro Bay, CA 93442
(805) 772-1269
✔ PECOS137 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Family Vision Center Inc's NPI number?

The NPI number for Advanced Family Vision Center Inc is 1043488547. It was assigned to this organization in the NPPES registry on February 19, 2008. The provider is doing business as Advanced Family Vision.

Where is Advanced Family Vision Center Inc located?

Advanced Family Vision Center Inc is located at 766 Los Angeles Ave Suite D3, Moorpark, CA 93021. The listed phone number is (805) 624-1254.

What is Advanced Family Vision Center Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Advanced Family Vision Center Inc enrolled in Medicare?

Yes. Advanced Family Vision Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Family Vision Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Advanced Family Vision Center Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Advanced Family Vision Center Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and BlueCross BlueShield of Tennessee list Advanced Family Vision Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Family Vision Center Inc was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.