Walter Hathaway, O.D.

LBN: Walter Hathaway, O.D.
Walter Hathaway, O.D. is an health care organization with primary practice located at 255 John Knox Rd , Tallahassee FL 32303-6676. The organization recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Walter Hathaway, O.D. can be contacted via phone (850) 385-0255, or through Alderman, Remonia R via phone (850) 385-0255.

Contact Information

Primary practice address
255 John Knox Rd Tallahassee FL 32303-6676
Phone: (850) 385-0255
Fax: (850) 385-3941
Website:
Map and Directions
Authorized official contact:
Name: Alderman, Remonia R
Phone: (850) 385-0255

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC860 Florida
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X OPC860 Florida
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X OPC860 Florida
Eye and Vision Services Providers / Pediatrics 152WP0200X OPC860 Florida
Eye and Vision Services Providers / Sports Vision 152WS0006X OPC860 Florida
Eye and Vision Services Providers / Vision Therapy 152WV0400X OPC860 Florida
Eye and Vision Services Providers / Occupational Vision 152WX0102X OPC860 Florida

Profile Details

NPI number 1669739397
LBN Legal business name Walter Hathaway, O.D.
DBA Doing business as
Authorized official Alderman, Remonia R
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 19th, 2012
Last updated Apr 19th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669739397 NPPES
Florida MEDICAID 084900600

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