Walter Hathaway, O.D.
LBN: Walter Hathaway, O.D.
Walter Hathaway, O.D. is an health care organization with primary practice located at 255 John Knox Rd , Tallahassee FL 32303-6676. The organization recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Walter Hathaway, O.D. can be contacted via phone (850) 385-0255, or through Alderman, Remonia R via phone (850) 385-0255.
Contact Information
Primary practice address
255 John Knox Rd
Tallahassee FL 32303-6676
Phone: (850) 385-0255
Fax: (850) 385-3941
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC860 | Florida |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPC860 | Florida |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | OPC860 | Florida |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | OPC860 | Florida |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | OPC860 | Florida |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | OPC860 | Florida |
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | OPC860 | Florida |
Profile Details
| NPI number | 1669739397 |
|---|---|
| LBN Legal business name | Walter Hathaway, O.D. |
| DBA Doing business as | |
| Authorized official | Alderman, Remonia R |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Apr 19th, 2012 |
| Last updated | Apr 19th, 2012 - about 14 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669739397 | NPPES |
| Florida | MEDICAID | 084900600 |
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