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General NPI Number Information
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NPI Number | 1114043197
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Entity Type | Organization
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Legal Business Name | OPTOMETRY UNLIMITED, LLC
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 02/14/2023
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Provider Practice Location Address
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Address Line | 154 HUTTON PL
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City | ASHLAND CITY
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State | TN
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Zip | 37015-4953
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Country | US
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Telephone | 615-792-4321
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Fax | 615-792-6147
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Provider Business Mailing Address
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Address Line | 5429 EDMONDSON PIKE
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City | NASHVILLE
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State | TN
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Zip | 37211
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Country | US
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Telephone | 615-331-8688
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Fax | 615-457-8964
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Authorized Official
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Title or Position | TAX MATTERS MEMBER
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Name | DR. CHALMERS WADE HYATT III
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Credential | O.D.
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Telephone | 615-331-8688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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