Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANDREA S TADDESE, O.D.
Active Sole ProprietorDR. ANDREA S TADDESE, O.D. is a Optometrist healthcare provider located in MOUNT JULIET, Tennessee. NPI 1063725208 is currently active in the NPPES registry. Verify at CMS.
Optometrist · MOUNT JULIET, TN
Registration Details
- NPI Number
- 1063725208
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 16, 2010 (16.041968603851 yrs)
- Last Updated
- Aug 15, 2012
- Licenses
-
1818DT (KY)OD-T3032 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
401 S MOUNT JULIET RD STE 367MOUNT JULIET, TN, 371228544Browse TN providers · Browse ZIP 37122
- Phone
- 6157580874
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in MOUNT JULIET, TN
| Name | Credential | NPI |
|---|---|---|
| THOMAS A ROBERSON | O.D. | 1649279076 |
| DR. JEREMY CHRISTOPHER SCOGGINS | O.D. | 1942281530 |
| DR. JON G FRANKLIN | O.D. | 1700837754 |
| LAVANYA TAMMAREDDI | O.D. | 1174690655 |
| DR. WAYNE RICHARD SERIN | O.D. | 1366595704 |
| DR. JOHN ALLEN KIRBY | O.D. | 1437358959 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.