Individual
DR. GREGORY LUIS WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1055 TEKULVE RD, BATESVILLE, IN 47006-8979
(812) 934-5347
(812) 932-2020
Mailing address
1055 TEKULVE RD, BATESVILLE, IN 47006-8979
(812) 934-5347
(812) 932-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IN18002615
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000090531
ANTHEM
IN
01
—
02880
SPECTERA
IN
01
—
0953810001
DMERC
IN
01
—
5083058
AETNA
IN
01
—
IN2615
EYEMED
IN
Enumeration date
09/22/2005
Last updated
07/08/2007
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