Tedrick Rasheed, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT003073 Issued in GA

Practice address

1596 Dogwood Dr SE Ste D
Conyers, GA 30013-5072

Phone

(678) 607-3060

NPI assigned

Jun 17, 2015

Sex

Male

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 GA

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

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 and National Provider Directory roles.

• Visioncheck

  • Optician
  • Jonesboro, GA
  • NPI 1811240948

  Optometrist

  Medicare reassignment NPD
• National Vision, Inc.

  • Optician
  • Conyers, GA
  • NPI 1720451552
  NPD (past)

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1801277686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1596 DOGWOOD DR SE STE D",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135072",
            "telephone_number": "678-607-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1596 DOGWOOD DR SE STE D",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300135072",
            "telephone_number": "678-607-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASHEED",
        "first_name": "TEDRICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Ramsey, RN
• Schaza Javed Rana
• Tiffani Randolph
• Ryan Erfan Ranjbar, DMD
• Salome Angelle Ranson, CCC-SLP
• Hope Rasque, MD
• Raven Counseling Services, Inc.
• Ravik Foundation Inc.
• Austin Glen Rawlins
• RBDD Counseling Services LLC

• Optometrist in Conyers, GA
• Providers in Conyers, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.

Verify at the official NPI Registry.