Individual
C WADE HYATT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1474T
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41004420
RAILROAD MEDICARE/CHEATHAM CO EYECARE
TN
01
—
410047740
RAILROAD MEDICARE/NASHVILLE EYE GRP
TN
Enumeration date
09/17/2005
Last updated
10/22/2014
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