Jake Wysiadlowski

NPI 1255008462 · on the registry since 2021

Practice

Address: 1801 W End Ave Ste 1150
Nashville, TN 37203
Phone: (615) 321-8881
Fax: (615) 321-8874
Organisation at this address: Ny Iom Llc
Cascade Iom Llc
Alaska Iom, Llc
Carolina Iom, Llc
Michigan Iom, Llc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 40

Registry record

Primary taxonomy: Optometrist
152W00000X
Also registered as: Optometrist
Licence states on file: TX, TN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-09-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee