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

DR. THERESA BOLAND NEIDERER OD
NPI 1619910239
Optometrist in Frazer, PA

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
31.22/100
CMS Quality Rating
623 SWEDESFORD CORPORATE CENTER, FRAZER, PA 19355(610) 644-9300(610) 644-5410 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Theresa Boland Neiderer Od NPPES

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

DR. THERESA BOLAND NEIDERER OD (NPI 1619910239) is an individual optometrist in Frazer, Pennsylvania, licensed in Pennsylvania (OE006787-T) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1987).

NPPES Registry Identity

NPI1619910239
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. THERESA BOLAND NEIDERERCredential: OD
Location Address623 SWEDESFORD CORPORATE CENTERFrazer, PA 19355
Mailing Address3300 Township Line Rd, Ste 101Drexel Hill, PA 19026-1925 · (610) 430-2228 · Fax (610) 644-5410
Phone(610) 644-9300
Fax(610) 644-5410
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1987
Enumeration DateJune 13, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1619910239 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 PA · OE006787-T
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.
623 SWEDESFORD CORPORATE CENTER, Frazer, PA 19355
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Theresa Boland Neiderer Od 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 ID3779608690
PECOS Enrollment IDI20100916000045
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.

Areas of Expertise CMS Part B claims 6

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 office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
101 services54 patients
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.
100 services99 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
35 services28 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.
33 services32 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
29 services27 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 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19355 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

31.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.45
Improvement Activities0

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 Theresa Neiderer's NPI number?

The NPI number for Theresa Neiderer is 1619910239. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Theresa Neiderer located?

Theresa Neiderer practices at 623 Swedesford Corporate Center, Frazer, PA 19355. The listed phone number is (610) 644-9300.

What is Theresa Neiderer's specialty?

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

Is Theresa Neiderer enrolled in Medicare?

Yes. Theresa Neiderer 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.

What insurance does Theresa Neiderer accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Theresa Neiderer 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 Theresa Neiderer was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 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.