NPI
Jeremy Wade Anderson
NPI 1063405256
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- OD
- Type
- Individual
- Enumeration date
- 2005-08-24
- Last updated
- 2013-01-14
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Specialties
Licenses
- License TN
- 2431
Location
- Practice location
- 1642 McArthur St
- City
- Manchester TN
- Postal code
- 37355-2522
- Phone
- (931) 728-1315
- Fax
- (931) 728-1779
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Optometrists in Manchester, TN. 9 with this primary taxonomy in the public file.
Other NPIs in Manchester, TN. 399 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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