Active NPI
Caswell Hughes Wadley, O. D.
- Optometrist
- Pulaski, TN
National Provider Identifier
1427088178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1309
- Practice address
- 118 N 3Rd St
Pulaski, TN 38478-3200 - Phone
- (931) 363-4557
- Fax
- (931) 424-0778
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1309 | TN | Primary |
Addresses
Primary practice location
118 N 3Rd St
Pulaski, TN 38478-3200
Mailing address
PO Box 1129
Pulaski, TN 38478-1129
Phone (931) 363-4557
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3597789 | Medicaid | TN |
Other names 1
- Dr. C. Hughes Wadley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pulaski Eye Care, Inc. | Optometrist | Current | Accepting new patients |
Locations
1125 E College St
Pulaski, TN 38478
Phone (931) 363-4554
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Pulaski, TN
- NPI 1851066872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371686400000",
"number": "1427088178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1129",
"city": "PULASKI",
"state": "TN",
"postal_code": "384781129",
"telephone_number": "931-363-4557",
"fax_number": "931-424-0778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 N 3RD ST",
"city": "PULASKI",
"state": "TN",
"postal_code": "384783200",
"telephone_number": "931-363-4557",
"fax_number": "931-424-0778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADLEY",
"first_name": "CASWELL",
"middle_name": "HUGHES",
"name_prefix": "Dr.",
"credential": "O. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2013-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "1309",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3597789",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "C.",
"last_name": "WADLEY",
"middle_name": "HUGHES",
"prefix": "DR.",
"credential": "O. D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pulaski, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.