HEIDI KRISTINE TEDRICK OD
NPI 1104496538
Optometrist in Dover, DE
About Heidi Kristine Tedrick Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEIDI KRISTINE TEDRICK OD (NPI 1104496538) is an individual optometrist in Dover, Delaware, licensed in Delaware (I3-0011441) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wilmington.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Heidi Kristine Tedrick Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Heidi Tedrick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Dover, DE 19904
- Reassigned Medicare billing, Delaware enrollment
- 49 clinicians in this Medicare group
Wilmington, DE 19810
- Reassigned Medicare billing, Delaware enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DOVER, DE 19901
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 Heidi Tedrick's NPI number?
The NPI number for Heidi Tedrick is 1104496538. It was assigned to this individual provider in the NPPES registry on June 28, 2021. The provider is also known as Heidi Kristine Nelson.
Where is Heidi Tedrick located?
Heidi Tedrick practices at 655 S Bay Rd, Dover, DE 19901. The listed phone number is (302) 994-2511.
What is Heidi Tedrick's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Heidi Tedrick enrolled in Medicare?
Yes. Heidi Tedrick is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Heidi Tedrick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Tedrick reassigns Medicare benefits to 2 organizations: Myeyedr Optometry Of Delaware PA (Dover, DE) and Delaware Ophthalmology Consultants PA (Wilmington, DE). Each 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 Heidi Tedrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Heidi Tedrick was last updated on July 21, 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.
# Heidi Kristine Tedrick, OD · NPI 1104496538
Optometrist provider in Dover, Delaware. Individual provider, active in the CMS NPPES registry since June 28, 2021.
## Identity
- **NPI:** 1104496538 (Entity type: Individual)
- **Enumerated:** June 28, 2021
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** I3-0011441 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 655 S BAY RD, Dover, DE 19901-4615
- **Phone:** (302) 994-2511 · **Fax:** (302) 633-5385
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Myeyedr Optometry Of Delaware PA (NPI 1215306055, Dover, DE); Delaware Ophthalmology Consultants PA (NPI 1467496638, Wilmington, DE) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1104496538) · Data from the CMS NPPES public registry.