Individual
C WADE HYATT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5505 EDMONDSON PIKE, SUITE 101, NASHVILLE, TN 37211-5869
(615) 331-8688
(615) 331-2273
Mailing address
5505 EDMONDSON PIKE, SUITE 101, NASHVILLE, TN 37211-5872
(615) 331-8688
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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