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TEDDER OPTOMETRIC CLINIC MANAGEMENT, P.C.
NPI 1851091805
Optometrist in Fontana, CA

Active since March 08, 2023
17064 SLOVER AVE STE 104, FONTANA, CA 92337(909) 258-4620 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tedder Optometric Clinic Management, P.c. NPPES

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

TEDDER OPTOMETRIC CLINIC MANAGEMENT, P.C. (NPI 1851091805) is a healthcare organization registered as an optometrist in Fontana, California and active in the NPI registry since March 2023. The organization maintains 2 additional practice locations and lists Taylor Dean Tedder, President, as its authorized official.

NPPES Registry Identity

NPI1851091805
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameTEDDER OPTOMETRIC CLINIC MANAGEMENT, P.C.
Location Address17064 SLOVER AVE STE 104Fontana, CA 92337-7592
Mailing Address530 New Los Angeles Ave Ste 115-269Moorpark, CA 93021-2081 · (805) 624-1255
Phone(909) 258-4620
Organization SubpartNo
Authorized OfficialTaylor Dean TedderPresident · (805) 624-1255
Enumeration DateMarch 8, 2023
Last NPPES UpdateAugust 25, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1851091805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
17064 SLOVER AVE STE 104, Fontana, CA 92337
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Secondary Practice Locations 2

Location 1530 New Los Angeles Ave Ste 115-269Moorpark, CA 93021-2081 · Phone (805) 624-1255
Location 215268 Summit AveFontana, CA 92336-0234 · Phone (805) 624-1255

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

VISIONARY RETAIL MANAGEMENT CA INC
Eyewear Supplier
17064 SLOVER AVE STE 104
FONTANA, CA 92337
San Bernardino County (909) 258-4380
DR. ANTOINETTE LAM VU OD
Optometrist
17064 SLOVER AVE STE 104
FONTANA, CA 92337
San Bernardino County (909) 258-4620
AUSTIN JOSEPH HIRMIZ OD
Optometrist
17064 SLOVER AVE STE 104
FONTANA, CA 92337
San Bernardino County (909) 258-4620

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 Tedder Optometric Clinic Management, P.C.'s NPI number?

The NPI number for Tedder Optometric Clinic Management, P.C. is 1851091805. It was assigned to this organization in the NPPES registry on March 8, 2023.

Where is Tedder Optometric Clinic Management, P.C. located?

Tedder Optometric Clinic Management, P.C. is located at 17064 Slover Ave Ste 104, Fontana, CA 92337. The listed phone number is (909) 258-4620.

What is Tedder Optometric Clinic Management, P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Tedder Optometric Clinic Management, P.C. was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.