Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HEIDI KRISTINE TEDRICK OD
NPI 1104496538
Optometrist in Dover, DE

Active since June 28, 2021PECOS Enrolled
655 S BAY RD, DOVER, DE 19901(302) 994-2511(302) 633-5385 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2026, Jan 24, 2022, Jun 28, 2021 (3 updates tracked since 2021).

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

NPI1104496538
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameHEIDI KRISTINE TEDRICKCredential: OD
Location Address655 S BAY RDDover, DE 19901-4615
Mailing Address1601 Kirkwood HwyWilmington, DE 19805-4917 · (302) 994-2511 · Fax (302) 633-5358
Fax(302) 633-5385
Sole ProprietorNo
Enumeration DateJune 28, 2021
Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
NPI 1104496538 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 DE · I3-0011441
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.
655 S BAY RD, Dover, DE 19901

Other Names 1

Former Name (1)Heidi Kristine Nelson

Secondary Practice Location 1

Location 11601 Kirkwood HwyWilmington, DE 19805-4917 · Phone (302) 994-2511

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Heidi Kristine Tedrick Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Anesthesiology
655 S BAY RD, STE 5B
DOVER, DE 19901
Clinic/Center (Ambulatory Surgical)
655 S BAY RD, SUITE 5B
DOVER, DE 19901
Anesthesiology
655 S BAY RD, STE 5B
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.

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 27 days 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.