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

Dr. Jacqueline Rose Fiddler, OD

Individual provider Optometrist · NPI 1013532480

Dr. Jacqueline Rose Fiddler, OD is an Optometry in Arlington, Tennessee. Graduated from University of Missouri St Louis - School of Optometry in 2020, 6 years ago. Practices with Southern College of Optometry, a 56-clinician group and accepts Medicare assignment. Licensed in Missouri and Tennessee.

Years since qualifying
6
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
MO, TN
In the registry since
2020
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

11860 Cranston Dr
Arlington, TN 38002-4886
Phone: (901) 867-5540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3700 (TN)
Optometrist Taxonomy 152W00000X · Licence 2020014960 (MO)

Record details

NPI number1013532480
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 11, 2020
Last updated in NPPESJuly 5, 2022
Certification dateJuly 5, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 2020 (6 years in practice)
Group practice Southern College Of Optometry — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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