DR. ADDISON BROOKE TEDFORD OD
NPI 1053258764
Student in an Organized Health Care Education/Training Program in Parker, CO

Active since April 30, 2026
11961 LIONESS WAY, PARKER, CO 80134(303) 794-1111 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Addison Brooke Tedford Od NPPES

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

DR. ADDISON BROOKE TEDFORD OD (NPI 1053258764) is an individual student in an organized health care education/training program in Parker, Colorado and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1053258764
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ADDISON BROOKE TEDFORDCredential: OD
Location Address11961 LIONESS WAYParker, CO 80134-5302
Mailing Address11961 Lioness WayParker, CO 80134-5302 · (303) 794-1111
Sole ProprietorNo
Enumeration DateApril 30, 2026
NPPES CertifiedApril 30, 2026
NPI 1053258764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11961 LIONESS WAY, Parker, CO 80134

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
11961 LIONESS WAY
PARKER, CO 80134
Optometrist
11961 LIONESS WAY
PARKER, CO 80134
Optometrist
11961 LIONESS WAY
PARKER, CO 80134
Optometrist
11961 LIONESS WAY
PARKER, CO 80134
Ophthalmology
11961 LIONESS WAY
PARKER, CO 80134
Optometrist
11961 LIONESS WAY
PARKER, CO 80134
Ophthalmology
11961 LIONESS WAY
PARKER, CO 80134
Ophthalmology
11961 LIONESS WAY
PARKER, CO 80134

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 Addison Tedford's NPI number?

The NPI number for Addison Tedford is 1053258764. It was assigned to this individual provider in the NPPES registry on April 30, 2026.

Where is Addison Tedford located?

Addison Tedford practices at 11961 Lioness Way, Parker, CO 80134. The listed phone number is (303) 794-1111.

What is Addison Tedford's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Addison Tedford was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.