Search › Tennessee › 152W00000X
Andrea Taddese, O.D
NPI 1063725208 · on the registry since 2010 · sole proprietor
Practice
- Address
- 401 S Mount Juliet Rd Ste 367
Mount Juliet, TN 37122 - Phone
- (615) 758-0874
- Organisation at this address
- Luxottica Of America Inc.
Tennessee Cvs Pharmacy LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 19
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Also registered as
- 152W00000X
- Licence states on file
- KY, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-08-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee