Active NPI
Heidi Kristine Tedrick, OD
- Optometrist
- Dover, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- I3-0011441
- Practice address
- 655 S Bay Rd
Dover, DE 19901-4615 - Phone
- (302) 994-2511
- Fax
- (302) 633-5385
- NPI assigned
- Jun 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | I3-0011441 | DE | Primary |
Addresses
Primary practice location
655 S Bay Rd
Dover, DE 19901-4615
Mailing address
1601 Kirkwood Hwy
Wilmington, DE 19805-4917
Phone (302) 994-2511
Other practice location 1
1601 Kirkwood Hwy
Wilmington, DE 19805-4917
Phone (302) 994-2511
Other names 1
- Heidi Kristine Nelson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG003785 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Ophthalmology Consultants PA | Optometrist | Current | Accepting new patients |
| Delaware Ophthalmology Consultants PA | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Delaware PA | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Delaware PA | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Delaware PA | Optometrist | Current | Accepting new patients |
Locations
885 S Governors Ave
Dover, DE 19904
Phone (302) 734-5861
272 Carter Dr
Ste 100
Middletown, DE 19709
Phone (302) 477-2626
1941 Limestone Rd
Ste 205
Wilmington, DE 19808
Phone (302) 479-3937
3509 Silverside Rd
Wilmington, DE 19810
Phone (302) 477-2621
1950 Old Gallows Rd
Ste 520
Vienna, VA 22182
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Interoperability endpoints
- htedrick@doc1004.srs-direct.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Wilmington, DE
- NPI 1467496638
DE, Optometrist
-
- Optometrist
- New Castle, DE
- NPI 1588463632
-
- Optometrist
- Bear, DE
- NPI 1871962613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1104496538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 KIRKWOOD HWY",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198054917",
"telephone_number": "302-994-2511",
"fax_number": "302-633-5358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 S BAY RD",
"city": "DOVER",
"state": "DE",
"postal_code": "199014615",
"telephone_number": "302-994-2511",
"fax_number": "302-633-5385"
}
],
"practiceLocations": [
{
"address_1": "1601 Kirkwood Hwy",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198054917",
"country_code": "US",
"telephone_number": "302-994-2511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TEDRICK",
"first_name": "HEIDI",
"middle_name": "KRISTINE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-28",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "DE",
"license": "I3-0011441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEIDI",
"last_name": "NELSON",
"middle_name": "KRISTINE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.