Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NATHAN D DEDERMAN, OD, FAAO
ActiveDR. NATHAN D DEDERMAN, OD, FAAO is a Optometrist healthcare provider located in FORT LEONARD WOOD, Missouri. NPI 1174005243 is currently active in the NPPES registry. Verify at CMS.
Optometrist · FORT LEONARD WOOD, MO
Registration Details
- NPI Number
- 1174005243
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 5, 2018 (7.9449616824043 yrs)
- Last Updated
- Jan 12, 2024
- License
-
3451 (TN)
Practice Information
- Address
-
4430 MISSOURI AVE # 1267FORT LEONARD WOOD, MO, 654739098Browse MO providers · Browse ZIP 65473
- Phone
- 5052499251
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in FORT LEONARD WOOD, MO
| Name | Credential | NPI |
|---|---|---|
| DR. BENJAMIN MATLACK SWEDE | O.D. | 1912917279 |
| JESSICA WARD | O.D. | 1184116980 |
| PEYTON MCKAY SIMPSON | OD | 1093297293 |
| SHRIYA RUPAREL | — | 1104471739 |
| JON-ERIK KAMPWERTH | — | 1487429445 |
| HUNTER NEVILLE SMITH | OD | 1457236101 |
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.