IndividualActive
Andrea Taddese, O.D.
NPI 1063725208 · Optometrist · Mount Juliet, TN
Provider details
- NPI number
- 1063725208
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1818DT (KY)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
401 S Mount Juliet Rd Ste 367
Mount Juliet, TN 37122-8544
Phone: (615) 758-0874
Approximate (ZIP-level) locationGet directions
Mailing address
7095 Sonya Dr
Nashville, TN 37209-5231
Registry dates
- Enumerated
- 2010-07-16
- Last updated
- 2012-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.