DR. ROSAMOND HANNAH TEDESCO (O.D.) – Optometrist, NPI 1548469737

DR. ROSAMOND HANNAH TEDESCO (O.D.) is a healthcare provider. based in Blaine, Minnesota. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3099 (MN). The NPI Number for DR. ROSAMOND HANNAH TEDESCO (O.D.) is 1548469737

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. ROSAMOND HANNAH TEDESCO (O.D.)
NPI
1548469737
Phone
(763) 757-7000
Address
12170 ABERDEEN ST NE
Enumeration Date
17 July 2007
Last Update Date
23 July 2019

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY
Secondary Phone
7637577000
Graduation Year
2007 (19 years ago)
PAC ID
8820169949
Group Practice PAC ID
2264479575
Professional Enrollment ID
I20080618000082
Address ID
MN554494716BL12170NEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

879 OPTOMETRY in MN

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Provider Addresses for DR. ROSAMOND HANNAH TEDESCO (O.D.)

  • 12170, Aberdeen Street Northeast, Johnsville, Blaine, Anoka County, Minnesota, 55449, United States

    BLAINE, MN 554494716

    Phone: (763) 757-7000

    Fax: (763) 757-3328

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $226.

Total Amount is formed as General ($226) + Research ($0) + Ownership ($0) = $226.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: RxSight Inc ($66).

Total Amount

$226

General + Research + Ownership

Payments

10

Total payment records

General Amount

$226

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080618000082IOptometryMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system4241$0
View full utilization report →

Insurance plans in this area (ZIP 55449)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264479575View full group profile
NameSpecialtyState
O P T O M E T R YMN
-MN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN
O P T O M E T R YMN

Reviews

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Frequently asked questions

What unique ID ties claims to DR. ROSAMOND HANNAH TEDESCO (O.D.)?
NPI 1548469737 is assigned to DR. ROSAMOND HANNAH TEDESCO (O.D.) under the national enumeration system.
Is DR. ROSAMOND HANNAH TEDESCO (O.D.) currently active in the NPI registry?
CMS-published data lists DR. ROSAMOND HANNAH TEDESCO (O.D.) as an active registrant.
What kind of provider is DR. ROSAMOND HANNAH TEDESCO (O.D.)?
The page reflects Optometrist for DR. ROSAMOND HANNAH TEDESCO (O.D.). Clinical services aligned with this taxonomy classification.
Does DR. ROSAMOND HANNAH TEDESCO (O.D.) practice in Minnesota?
You will see Blaine, Minnesota on file for DR. ROSAMOND HANNAH TEDESCO (O.D.) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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