Organization
AARON L WILSON
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
AARON L WILSON A.B.O.M. (OWNER)
(423) 476-2217
Entity
Organization
Contact information
Practice address
913 KEITH ST NW, CLEVELAND, TN 37311-1804
(423) 476-2217
(423) 476-1381
Mailing address
913 KEITH ST NW, CLEVELAND, TN 37311-1804
(423) 476-2217
(423) 476-1381
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DPO0000001141
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074708
BCBS
TN
Enumeration date
03/18/2008
Last updated
06/16/2008
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