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Individual

DR. WALTER L CHOATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD0000000716
TN
152WC0802X
Corneal and Contact Management Optometrist
OD0000000716
TN
152WL0500X
Low Vision Rehabilitation Optometrist
OD0000000716
TN
152WP0200X
Pediatric Optometrist
OD0000000716
TN
152WS0006X
Sports Vision Optometrist
OD0000000716
TN
152WX0102X
Occupational Vision Optometrist
OD0000000716
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0028006
BLUECROSS BLUESHIELD TN
TN
01
0672520001
D MERC
TN
01
2240170
UNITED HEALTHCARE TN
TN
05
3594847
TN
01
410040172
MEDICARE RAILROAD
TN
01
969368
AETNA
TN
01
T-61213
HEALH SPRING TN
TN
Enumeration date
08/31/2005
Last updated
07/07/2015
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