National Provider Identifier Database

ROSAMOND H TEDESCO, OD – NPI #1548469737
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

ROSAMOND H TEDESCO, OD
12170 ABERDEEN ST NE
BLAINE, MN55449
Phone: 763-757-7000
Fax: 763-757-3328
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for ROSAMOND H TEDESCO

NPI Number 1548469737
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/17/2007
Last updated 07/23/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • MN License #: 3099
  • MN Medicaid: 535482200
  • MN Other: 410002980 MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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