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Organization
TEDDER OPTOMETRIC CLINIC MANAGEMENT, P.C.
Active
Organization
TEDDER OPTOMETRIC CLINIC MANAGEMENT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAYLOR DEAN TEDDER OD (PRESIDENT)
(805) 624-1255
Entity
Organization
Contact information
Practice address
17064 SLOVER AVE STE 104, FONTANA, CA 92337-7592
(909) 258-4620
Mailing address
530 NEW LOS ANGELES AVE STE 115-269, MOORPARK, CA 93021-2081
(805) 624-1255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/08/2023
Last updated
08/25/2025
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