Physician Compare National (NPI:1801277686)

HEALTHCARE PROVIDER: TEDRICK RASHEED O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1801277686
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3971856865
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20181023000996
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RASHEED
	Individual professional last name
Provider First Name	TEDRICK
	Individual professional first name
Provider Middle Name	CORNEL
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	4200 SALEM RD
	Group Practice or individual's line 1 address
City	COVINGTON
	Group Practice or individual's city
State	GA
	Group Practice or individual's state
Zip Code	300164533
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y