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KIMBERLY A TEDDER O.D.
NPI 1477606945
Optometrist in Moorpark, CA

Active since January 19, 2007PECOS EnrolledAccepts Medicare Assignment
766 LOS ANGELES AVE, SUITE D3, MOORPARK, CA 93021(805) 523-3440(805) 523-3442 Get Directions Write a Review

NPPES record last updated: October 7, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kimberly A Tedder O.d. NPPES

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

KIMBERLY A TEDDER O.D. (NPI 1477606945) is an individual optometrist in Moorpark, California, licensed in California (13135T) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2006).

NPPES Registry Identity

NPI1477606945
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKIMBERLY A TEDDERCredential: O.D.
Location Address766 LOS ANGELES AVE, SUITE D3Moorpark, CA 93021
Mailing Address14159 Oneida CtMoorpark, CA 93021-3565 · (805) 529-3116
Phone(805) 523-3440
Fax(805) 523-3442
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2006
Enumeration DateJanuary 19, 2007
Last NPPES UpdateOctober 7, 2008
✔ NPI 1477606945 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 · 13135T
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

Former Name (1)Kimberly A Pozza

Other Identifiers 4

Other1477606945Anthem Blue Cross
Medicaid1477606945CA
Medicare UPIN1477606945
Medicare NSC1477606945

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, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly A Tedder O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800984121
PECOS Enrollment IDI20071119000703
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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Tedder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advanced Family Vision Center Inc
0.1 mi
Optometrist
766 LOS ANGELES AVE, SUITE D3
Moorpark, CA 93021
  • Reassigned Medicare billing, California enrollment
  • 5 clinicians in this Medicare group
NPI 1043488547 (805) 624-1254

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
50 services45 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
28 services27 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
17 services17 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
17 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93021 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
$140.72 typical visit price
range $62.32 – $185.36
Typical copayment $35.18 (range $15.58 – $46.34)
Most-billed visit code 99204
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
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

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

ADVANCED FAMILY VISION CENTER INC
Optometrist
766 LOS ANGELES AVE, SUITE D3
MOORPARK, CA 93021
Ventura County (805) 624-1254

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 Kimberly Tedder's NPI number?

The NPI number for Kimberly Tedder is 1477606945. It was assigned to this individual provider in the NPPES registry on January 19, 2007. The provider is also known as Kimberly A Pozza.

Where is Kimberly Tedder located?

Kimberly Tedder practices at 766 Los Angeles Ave Suite D3, Moorpark, CA 93021. The listed phone number is (805) 523-3440.

What is Kimberly Tedder's specialty?

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

Is Kimberly Tedder enrolled in Medicare?

Yes. Kimberly Tedder is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kimberly Tedder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Tedder reassigns Medicare benefits to Advanced Family Vision Center Inc (Moorpark, CA). The 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 Kimberly Tedder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Tedder accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list Kimberly Tedder 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 Kimberly Tedder was last updated on October 7, 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.