DR. JEREMY WADE ANDERSON (NPI# 1063405256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063405256 |
| Entity Type | Individual |
| Full Name | DR. JEREMY WADE ANDERSON |
| Credential | OD |
| Practice Address |
1642 Mcarthur St Manchester TN 37355-2522 |
| Practice Telephone | 9317281315 |
| Practice Fax Number | 9317281779 |
| Mailing Telephone | 9317281315 |
| Mailing Fax Number | 9317281779 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2013-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2431 | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3946295 | 05 | |
| TN | LICENSE OD | 2431 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922622968 | Jeremy Ken Anderson | Dentist | 9 Triangle Park Dr Ste 3, Concord, NH 03301-5790 | 2020-06-05 |
| 1457732760 | Jeremy Anderson | Student in an Organized Health Care Education/Training Program | 1 Medical Center Dr Ste 162, Stratford, NJ 08084-1500 | 2015-06-11 |
| 1730346362 | Jeremy Michael Anderson | Dentist | 2412 Meridian Rd, Victor, MT 59875 | 2008-05-21 |
| 1558495093 | Jeremy James Anderson | Chiropractor | 211 Euclid St, Grandview, WA 98930-1160 | 2007-03-15 |
| 1043312176 | Jeremy R Anderson | Pharmacist | 3041 Stonehedge Dr Ne, Mayo Clinic Family Clinic Northeast, Rochester, MN 55906-5426 | 2006-09-01 |
| 1942262621 | Jeremy Patrick Anderson | Optometrist | 227 E Blackstock Rd, Suite 200, Spartanburg, SC 29301-2632 | 2006-04-06 |
| 1649259680 | Jeremy Paul Anderson | Pharmacist | 221 4th Ave Sw, Rochester, MN 55905-0014 | 2006-01-10 |
| 1144714296 | Jeremy Anderson | Student in an Organized Health Care Education/Training Program | 500 Foothill Dr, Slc, UT 84148-0001 | 2018-06-20 |
| 1982196606 | Jeremy Anderson | Counselor | 110 Boston St, Salem, MA 01970-1402 | 2018-05-30 |
| 1427442342 | Jeremy Anderson | Physical Therapist | 1010 W Washington Center Rd, Fort Wayne, IN 46825-4155 | 2015-03-28 |
| Street Address |
1642 MCARTHUR ST |
| City | MANCHESTER |
| State | TN |
| Zip Code | 37355-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952635690 | Anderson Eye Care, Pllc | Clinic/Center | 1642 Mcarthur St, Manchester, TN 37355-2522 | 2009-09-29 |
| 1902942782 | Summer Truesdale Anderson | Optometrist | 1642 Mcarthur St, Manchester, TN 37355-2522 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659857126 | Ashley Harmon Layne | Speech-Language Pathologist | 205 S Woodland St, Manchester, TN 37355 | 2018-07-17 |
| 1760996771 | Quad/med, LLC | Clinic/Center | 227 Monogard Rd, Manchester, TN 37355 | 2017-11-29 |
| 1881108157 | Sarabeth Seagreaves | Specialist/Technologist | 1700 Summer St Apt A36, Manchester, TN 37355 | 2017-11-25 |
| 1639618663 | Heather N Fesmire | Surgery | 1030 Mcarthur St., Manchester, TN 37355 | 2017-02-23 |
| 1316361561 | Charlotte Gibbs | Counselor | 482 Interstate Dr Ste D, Manchester, TN 37355 | 2014-02-08 |
| 1205258191 | Aleene Marie Falk | Social Worker | 218 Forrestwood Drive, Manchester, TN 37355 | 2014-01-10 |
| 1790067429 | Reda Lynn Lawson | Registered Nurse | 800 Parks Street, Manchester, TN 37355 | 2011-09-20 |
| 1912294117 | Patricia Beth Elliott | Nurse Practitioner | 804 Keylon Street, Manchester, TN 37355 | 2011-07-08 |
| 1427241421 | Kimberly D. Mathis | Nurse Practitioner | 1600 Mcarthur Street, Manchester, TN 37355 | 2007-08-22 |
| 1982761441 | Richard Eugene Fishbein | Orthopaedic Surgery | 102 East High Street, Manchester, TN 37355 | 2007-01-03 |
| Find all providers in zip 37355 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750836649 | Amanda Bilunas | Optometrist | 238 Tolland Tpke, G, Manchester, CT 06042-1744 | 2016-08-20 |
| 1457737447 | Samantha Mein | Optometrist | 581 2nd St, Manchester, NH 03102-5200 | 2015-08-03 |
| 1083098156 | Stephanie Sturgis | Optometrist | 397b Broad Street, Manchester, CT 06040 | 2015-07-17 |
| 1568703387 | Nicholas Olberding | Optometrist | 225 W Main St # 308, Manchester, IA 52057-1533 | 2013-03-04 |
| 1356692214 | Complete Family Eyecare, LLC | Optometrist | 238g Tolland Tpke, Manchester, CT 06042-5706 | 2012-10-01 |
| 1154698702 | Preventative & Regenerative Eye Care, LLC | Optometrist | 1107 Brittany Parkway Dr, Manchester, MO 63011-4327 | 2011-11-28 |
| 1891075727 | Bhavika Mahesh Patidar | Optometrist | 232 Maple Springs Dr, Manchester, TN 37355-3764 | 2011-08-23 |
| 1083918692 | Contemporary Vision Center, LLC | Optometrist | 971 Brittany Parkway Drive, Manchester, MO 63011 | 2010-12-23 |
| 1932417870 | West County Eye Care LLC | Optometrist | 23 Stonegate Ctr, Manchester, MO 63088-1215 | 2010-09-14 |
| 1386957157 | Wei Zhu | Optometrist | 344 Buckland Hills Dr, Manchester, CT 06042-8700 | 2010-07-21 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 37355 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.