Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Andrea S Taddese, OD

Individual provider Optometrist · NPI 1063725208

Dr. Andrea S Taddese, OD is an Optometrist in Mount Juliet, Tennessee. Practices as a sole proprietor. Licensed in Kentucky and Tennessee.

Licensed in
KY, TN
In the registry since
2010
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

401 S Mount Juliet Rd Ste 367
Mount Juliet, TN 37122-8544
Phone: (615) 758-0874
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1818DT (KY)
Optometrist Taxonomy 152W00000X · Licence OD-T3032 (TN)

Record details

NPI number1063725208
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorYes
NPI enumeratedJuly 16, 2010
Last updated in NPPESAugust 15, 2012

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