Organization Active NPI

Optometry Unlimited, LLC

  • Optometrist
  • Nashville, TN
National Provider Identifier
1114043189
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
OPTOMETRY UNLIMITED, LLC
Practice address
5429 Edmondson Pike
Nashville, TN 37211
Phone
(615) 331-8688
Fax
(615) 457-8964
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Chalmers Wade Hyatt III, O.D.
Title
Tax Matters Member
Phone
(615) 331-8688

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

5429 Edmondson Pike
Nashville, TN 37211

Mailing address

5429 Edmondson Pike
Nashville, TN 37211-5869
Phone (615) 331-8688

Other names 1

  • Nashville Eye Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111018000824 TN Part B Supplier - Clinic/Group Practice 7517170012 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Ashland City, TN; Nashville, TN

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5505 Edmondson Pike
Ste 101
Nashville, TN 37211
Phone (615) 331-8688

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1114043189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5429 EDMONDSON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115869",
            "telephone_number": "615-331-8688",
            "fax_number": "615-457-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5429 EDMONDSON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37211",
            "telephone_number": "615-331-8688",
            "fax_number": "615-457-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTOMETRY UNLIMITED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "HYATT",
        "authorized_official_first_name": "CHALMERS",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "TAX MATTERS MEMBER",
        "authorized_official_telephone_number": "615-331-8688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nashville Eye Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nashville Eye Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.