Active NPI
C Wade Hyatt III
- Optometrist
- Nashville, TN
National Provider Identifier
1669467452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1474T
- Practice address
- 5505 Edmondson Pike
Suite 101
Nashville, TN 37211-5869 - Phone
- (615) 331-8688
- Fax
- (615) 331-2273
- NPI assigned
- Sep 17, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 1474T | TN | Primary |
Addresses
Primary practice location
5505 Edmondson Pike
Suite 101
Nashville, TN 37211-5869
Mailing address
5505 Edmondson Pike
Suite 101
Nashville, TN 37211-5872
Phone (615) 331-8688
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41004420 | Other | TN | RAILROAD MEDICARE/CHEATHAM CO EYECARE |
| 410047740 | Other | TN | RAILROAD MEDICARE/NASHVILLE EYE GRP |
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Alabama School of Medicine, 1992
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
154 Hutton PL
Ashland City, TN 37015-4953
Phone (615) 792-4321
5429 Edmondson Pike
Nashville, TN 37211-5806
Phone (615) 331-8688
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1474 | TN | MD | Marriage & Family Therapist |
| 1474T | TN | MD | Optometrist |
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 and National Provider Directory roles.
-
- Optometrist
- Nashville, TN
- NPI 1114043189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1669467452",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5505 EDMONDSON PIKE",
"address_2": "SUITE 101",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372115872",
"telephone_number": "615-331-8688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5505 EDMONDSON PIKE",
"address_2": "SUITE 101",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372115869",
"telephone_number": "615-331-8688",
"fax_number": "615-331-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYATT III",
"first_name": "C WADE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-17",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "1474T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE/CHEATHAM CO EYECARE",
"identifier": "41004420",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE/NASHVILLE EYE GRP",
"identifier": "410047740",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 22, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.