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

Dr. Nathan D Dederman, OD, FAAO

Individual provider Optometrist · NPI 1174005243

Dr. Nathan D Dederman, OD, FAAO is an Optometrist in Fort Leonard Wood, Missouri. Licensed in Tennessee. Registered with an NPI since 2018.

Licensed in
TN
In the registry since
2018
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

4430 Missouri Ave # 1267
Fort Leonard Wood, MO 65473-9098
Phone: (505) 249-9251
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3451 (TN)

Record details

NPI number1174005243
Entity typeIndividual (Type 1)
GenderMale
Credentials OD , FAAO
Sole proprietorNo
NPI enumeratedSeptember 5, 2018
Last updated in NPPESJanuary 12, 2024
Certification dateAugust 29, 2023

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