Hyatt Iii, C Wade

Hyatt Iii, C Wade is an individual health care provider with primary practice located at 5505 Edmondson Pike Suite 101, Nashville TN 37211-5869. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Hyatt Iii, C Wade can be contacted via phone (615) 331-8688.

Contact Information

Primary practice address
5505 Edmondson Pike Suite 101 Nashville TN 37211-5869
Phone: (615) 331-8688
Fax: (615) 331-2273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1474T Tennessee

Profile Details

NPI number 1669467452
LBN Legal business name Hyatt Iii, C Wade
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2005
Last updated Oct 22nd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669467452 NPPES
Tennessee Other 41004420 RAILROAD MEDICARE/CHEATHAM CO EYECARE
Tennessee Other 410047740 RAILROAD MEDICARE/CHEATHAM CO EYECARE

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