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Organization
PREMIER VISION, P.C.
Active
Organization
PREMIER VISION, P.C.
Active
Other names
Premier Vision
Organization subpart
No
Provider details
NPI number
Authorized official
KENT A. WILSON OD (PRESIDENT)
(972) 563-5533
Entity
Organization
Contact information
Practice address
152 9TH ST, TERRELL, TX 75160-3061
(972) 563-5533
(972) 524-8489
Mailing address
152 9TH ST, TERRELL, TX 75160-3061
(972) 563-5533
(972) 524-8489
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4572TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0026FC
BLUE CROSS BLUE SHIELD
—
05
—
1564635-01
—
TX
01
—
4657270001
CIGNA GOVERNMENT SERVICES
TX
Enumeration date
08/01/2006
Last updated
01/15/2026
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