Organization
ULTIMATE VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GAVIN WILSON DPO 3035 (MEMBER/ OPTICIAN)
(423) 260-0729
Entity
Organization
Contact information
Practice address
915 GARY ST NW, CLEVELAND, TN 37311-4227
(423) 260-0729
Mailing address
1790 RABBIT VALLEY RD NW, CLEVELAND, TN 37312-6921
(423) 260-0729
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
03/04/2026
Last updated
05/04/2026
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