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Physician Compare National (NPI:1427088178)

HEALTHCARE PROVIDER: CASWELL HUGHES WADLEY O. D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1427088178
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9032226519
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20110817000154
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name WADLEY
Individual professional last name
Provider First Name CASWELL
Individual professional first name
Provider Middle Name HUGHES
Individual professional middle name
Provider Name Suffix Text IV
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name SOUTHERN COLLEGE OF OPTOMETRY
Individual professional's medical school
Graduation Year 1990
Individual professional's medical school graduation year
Primary Specialty OPTOMETRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 118 N 3RD ST
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 2
Group Practice or individual's line 2 address
City PULASKI
Group Practice or individual's city
State TN
Group Practice or individual's state
Zip Code 384783200
Group Practice or individual's zip code (9 digits when available)
Phone Number 9313634557
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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