Sydney Teragawa, OPTOMETRIST

Primary specialty

OptometristTaxonomy code 152W00000X

License

3888 Issued in MN

Practice address

7000 York Ave S
Edina, MN 55435-4213

Phone

(952) 922-8118

NPI assigned

Aug 21, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Visionary Eye Care PAGroup PAC ID 9032455936, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Visionary Eye Care, PA

  dba Tommy Lee Elton

  • Optometrist
  • Excelsior, MN
  • NPI 1811430226
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1396529582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 YORK AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354213",
            "telephone_number": "952-922-8118",
            "fax_number": "952-922-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 YORK AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354213",
            "telephone_number": "952-922-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERAGAWA",
        "first_name": "SYDNEY",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ted Lobby, LLC
• Kurtis Lee Tedesco, M.D.
• Thomas Michael Tedford, M.D.
• Michelle Teigen, CRNA
• Thomas P Telander, DDS
• Dmytro Tertytskyi
• Ned K Tervola, ATC
• Walter Frederick Teske, DDS
• Jennifer Ann Tessmer-Tuck, MD
• Joseph Thomas Teynor, M.D.

• Optometrist in Edina, MN
• Providers in Edina, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.