Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly A Tedder, OD

Individual provider Optometrist · NPI 1477606945

Kimberly A Tedder, OD is an Optometry in Moorpark, California. Graduated from Illinois College of Optometry at Chicago in 2006, 20 years ago. Practices with Advanced Family Vision Center Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Trained at
Illinois College of Optometry at Chicago
Licensed in
CA
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

766 Los Angeles Ave Ste D3
Moorpark, CA 93021
Phone: (805) 523-3440
Fax: (805) 523-3442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 13135T (CA)

Record details

NPI number1477606945
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJanuary 19, 2007
Last updated in NPPESOctober 7, 2008
Mailing address14159 Oneida Ct, Moorpark, CA 93021-3565

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 2006 (20 years in practice)
Group practice Advanced Family Vision Center Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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