Theresa Boland Neiderer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OE006787-T Issued in PA

Practice address

623 Swedesford Corporate Center
Frazer, PA 19355

Phone

(610) 644-9300

Fax

(610) 644-5410

NPI assigned

Jun 13, 2006

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 PA

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

Pennsylvania College of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edmonds and Associates LLCGroup PAC ID 8527243153, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

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.

• Edmonds & Associates LLC

  • Optometrist
  • Drexel Hill, PA
  • NPI 1285931709
  Medicare reassignment Care Compare group NPD
• Edmonds and Associates

  • Optometrist
  • Drexel Hill, PA
  • NPI 1295828812
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619910239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 TOWNSHIP LINE RD",
            "address_2": "STE 101",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190261925",
            "telephone_number": "610-430-2228",
            "fax_number": "610-644-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 SWEDESFORD CORPORATE CENTER",
            "city": "FRAZER",
            "state": "PA",
            "postal_code": "19355",
            "telephone_number": "610-644-9300",
            "fax_number": "610-644-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIDERER",
        "first_name": "THERESA",
        "middle_name": "BOLAND",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OE006787-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Frazer, PA
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.