Rosamond Hannah Tedesco, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3099 Issued in MN

Practice address

12170 Aberdeen St NE
Blaine, MN 55449

Phone

(763) 757-7000

Fax

(763) 757-3328

NPI assigned

Jul 17, 2007

Last updated

Jul 23, 2019By the provider in NPPES

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

University of California - School of Optometry, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blaine Eye Clinic Optometrists, P.a.Group PAC ID 2264479575, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Star Vision Group, P.a.

  dba Blaine Eye Clinic

  • Durable Medical Equipment & Medical Supplies
  • Blaine, MN
  • NPI 1043363401

  Optometrist

  Medicare reassignment Care Compare group NPD
• Don Sealock, O.D., P.a.

  dba Four Seasons Eyecare

  • Optometrist
  • Plymouth, MN
  • NPI 1497785620
  NPD (past)
• Gould Enterprise, PLLC

  • Clinic/Center
  • Saint Paul, MN
  • NPI 1750888335
  NPD (past)
• Hometown Eye Care, Inc

  • Optometrist
  • Big Lake, MN
  • NPI 1841221785
  NPD (past)
• The Total Vision Institute LLC

  • Ophthalmologic Surgery Clinic/Center
  • St Louis Park, MN
  • NPI 1043760119
  NPD (past)

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1548469737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12170 ABERDEEN ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494716",
            "telephone_number": "763-757-7000",
            "fax_number": "763-757-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12170 ABERDEEN ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "55449",
            "telephone_number": "763-757-7000",
            "fax_number": "763-757-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDESCO",
        "first_name": "ROSAMOND",
        "middle_name": "HANNAH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swift Transport LLC
• Crystal Dawn Tainter, PT
• Christine Takes, DPT
• Ruby Taylor - Keller
• Tech & Task
• Alice Tembo
• Suzanne S Teragawa, MD
• Nancy Terry
• Peter John Terry, M.D.
• The Anchor Health and Suppoet Services

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.