TAYLOR D TEDDER O.D.
NPI 1639364532
Optometrist in Moorpark, CA

Q: What is Taylor Tedder's NPI number?

The NPI number for Taylor Tedder is 1639364532. It was assigned to this individual provider in the NPPES registry on September 13, 2007.

Q: What is Taylor Tedder's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Taylor Tedder was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 13, 2007PECOS Enrolled

766 W LOS ANGELES AVE, D3, MOORPARK, CA 93021(805) 523-3440 Get Directions Write a Review

NPPES record last updated: August 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Taylor D Tedder O.d. NPPES

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

TAYLOR D TEDDER O.D. (NPI 1639364532) is an individual optometrist in Moorpark, California, licensed in California (13350) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Thousand Oaks, and is a graduate of Illinois College Of Optometry At Chicago (2007).

NPPES Registry Identity

NPI1639364532

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameTAYLOR D TEDDERCredential: O.D.

Location Address766 W LOS ANGELES AVE, D3Moorpark, CA 93021-9302

Mailing Address766 W Los Angeles Ave, D3Moorpark, CA 93021 · (805) 523-3440

Phone(805) 523-3440

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2007

Enumeration DateSeptember 13, 2007

Last NPPES UpdateAugust 30, 2022

NPPES CertifiedAugust 26, 2022

✔ NPI 1639364532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in CA · 13350✔ Licensed in CA · 13350T

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 W LOS ANGELES AVE, Moorpark, CA 93021

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Secondary Practice Location 1

Location 1518 N Moorpark RdThousand Oaks, CA 91360-3703 · Phone (805) 373-0599

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Taylor D Tedder O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406944891

PECOS Enrollment IDI20250701001022, I20250814000503

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 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.

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 Taylor Tedder's NPI number?

The NPI number for Taylor Tedder is 1639364532. It was assigned to this individual provider in the NPPES registry on September 13, 2007.

Where is Taylor Tedder located?

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

What is Taylor Tedder's specialty?

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

Is Taylor Tedder enrolled in Medicare?

Yes. Taylor Tedder is registered in the Medicare PECOS enrollment system.

What insurance does Taylor Tedder accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list Taylor 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 Taylor Tedder was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.