Individual
AARON L WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.B.O.M., D.P.O.
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) 254-5738
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DPO0000001141
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074708
BLUE CROSS BLUE SHIELD
TN
Enumeration date
02/16/2007
Last updated
03/04/2026
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