Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jake T Wysiadlowski

Individual provider Optometrist · NPI 1255008462

Jake T Wysiadlowski is an Optometry in Nashville, Tennessee. Qualified in 2021, 5 years ago. Practices with Wang Vision Institute, PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Tennessee and Texas.

Years since qualifying
5
Licensed in
TN, TX
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1801 W End Ave Ste 1150
Nashville, TN 37203-2528
Phone: (615) 321-8881
Fax: (615) 321-8874
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3768 (TN)
Optometrist Taxonomy 152W00000X · Licence 10378 (TX)

Record details

NPI number1255008462
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 25, 2021
Last updated in NPPESSeptember 29, 2022
Certification dateSeptember 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Wang Vision Institute, Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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