Walter Hathaway (NPI# 1720154099, PAC ID# 1355538836) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1720154099 |
PAC ID by PECOS | 1355538836 |
Professional Enrollment ID | I20101209000634 |
Full Name | Walter Hathaway |
Address |
255 John Knox Rd Tallahassee FL 32303-6676 |
Phone Number | 8503850255 |
Gender | M |
Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
Graduation Year | 1967 |
Primary Specialty | OPTOMETRY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
255 John Knox Rd, Tallahassee, FL 32303-6676 | 8503850255 |
Street Address |
255 JOHN KNOX RD |
City | TALLAHASSEE |
State | FL |
Zip | 32303-6676 |
Name | Specialty | Organization | Address |
---|---|---|---|
Patrick Brown | Internal Medicine | North Florida Medical Centers, Inc. | 3721 N Monroe St, Tallahassee, FL 32303-2740 |
Carla Janese Robertson | Nurse Practitioner | North Florida Medical Centers, Inc. | 3721 N Monroe St, Tallahassee, FL 32303-2740 |
Mary Jane Bailey | Nurse Practitioner | North Florida Medical Centers, Inc. | 3721 N Monroe St, Tallahassee, FL 32303-2740 |
Douglas P Sherman | Family Practice | D.p. Sherman, Inc | 3721 N Monroe St, Tallahassee, FL 32303-2740 |
Expedito Salvador | Physician Assistant | Patients First Lake Ella Medical Center Pa | 3258 N Monroe St, Tallahassee, FL 32303-2822 |
Tammy L Howerton | Physician Assistant | Patients First Lake Ella Medical Center Pa | 3258 N Monroe St, Tallahassee, FL 32303-2822 |
Hayley R Scott | Family Medicine | 3258 N Monroe St, Tallahassee, FL 32303-2822 | |
Lourdes A Mosley | Physician Assistant | Patients First Lake Ella Medical Center Pa | 3258 N Monroe St, Tallahassee, FL 32303-2822 |
Laura C Clark | Physician Assistant | Patients First Lake Ella Medical Center Pa | 3258 N Monroe St, Tallahassee, FL 32303-2822 |
Ryne Least | Physician Assistant | Patients First Lake Ella Medical Center Pa | 3258 N Monroe St, Tallahassee, FL 32303-2822 |
Find all physicians in zip 32303 |
City | TALLAHASSEE |
Zip Code | 32303 |
Specialty | OPTOMETRY |
City + Specialty | TALLAHASSEE + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.