Theodore James Hesterman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC6133 Issued in FL

Practice address

2223 N West Shore Blvd Ste 280
Tampa, FL 33607-7228

Phone

(813) 524-5436

NPI assigned

Jul 1, 2022

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

Other names 1

• Teddy Hesterman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656633600000",
    "number": "1972236537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 W CASS ST APT 6201",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336060040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 N WEST SHORE BLVD STE 280",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336077228",
            "telephone_number": "813-524-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESTERMAN",
        "first_name": "THEODORE",
        "middle_name": "JAMES",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-01",
        "last_updated": "2022-07-01",
        "certification_date": "2022-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEDDY",
            "last_name": "HESTERMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Markell Hessing
• Raquel Symone Hester-Pinel
• Chariot Corinne Hester, LCSW
• Jessie Lee Hester, BA
• Kennethia Hester
• Heather Hetzel
• Lisa Marie Heuer, BA
• Heun Comprehensive Psychological Services, LLC
• Aurora Hevel
• Hewan and Foster Partners LLC

• Optometrist in Tampa, FL
• Providers in Tampa, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.