Provider Demographics
NPI:1417430372
Name:DR TEDRICK RASHEED & ASSOCIATES PC
Entity Type:Organization
Organization Name:DR TEDRICK RASHEED & ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TEDRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:RASHEED
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:919-951-9244
Mailing Address - Street 1:115 COWAN RDG
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-9165
Mailing Address - Country:US
Mailing Address - Phone:919-951-9244
Mailing Address - Fax:
Practice Address - Street 1:4200 SALEM RD
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-4533
Practice Address - Country:US
Practice Address - Phone:919-951-9244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-06
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty