# NATHAN M WADKINS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1326794199
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | 271288 | KY | Yes |

## Other

- **Enumeration date:** 03/01/2022
- **Last updated:** 03/02/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 271288 | COMMONWEALTH OF KENTUCKY BOARD OF OPHTHALMIC DISPENSERS | KY |