| Dr Nathan D Dederman, OD, FAAO | |
|
4430 Missouri Ave # 1267, Fort Leonard Wood, MO 65473-9098 | |
| (505) 249-9251 | |
| Not Available |
| Full Name | Dr Nathan D Dederman |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 4430 Missouri Ave # 1267, Fort Leonard Wood, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174005243 | NPI | - | NPPES |
| 10002 | Other | TX | STATE LICENSE |
| 3451 | Other | TN | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3451 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nathan D Dederman, OD, FAAO 4430 Missouri Ave # 1267, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-0048 | Dr Nathan D Dederman, OD, FAAO 4430 Missouri Ave # 1267, Fort Leonard Wood, MO 65473-9098 Ph: (505) 249-9251 |
Ettinger Optometry, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 143 Replacement Ave, Building 487, Fort Leonard Wood, MO 65473 Phone: 573-329-4860 Fax: 573-329-4860 | |
Peyton Mckay Simpson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0048 | |
Shriya Ruparel, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0048 | |
Amy Molina, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0048 Fax: 573-596-0716 | |
Jessica Ward, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0035 | |
Hunter Neville Smith, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 908-455-4677 |