Individual
DR. ROSAMOND HANNAH TEDESCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
12170 ABERDEEN ST NE, BLAINE, MN 55449
(763) 757-7000
(763) 757-3328
Mailing address
12170 ABERDEEN ST NE, BLAINE, MN 55449-4716
(763) 757-7000
(763) 757-3328
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3099
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410002980
MEDICARE
MN
05
—
535482200
—
MN
Enumeration date
07/17/2007
Last updated
07/23/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us