Individual
WESLEY ONEAL PERSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7085 HIGHWAY 64 STE 2, OAKLAND, TN 38060-3366
(901) 466-1333
(901) 466-1333
Mailing address
7085 HIGHWAY 64 STE 2, OAKLAND, TN 38060-3366
(901) 466-1333
(901) 466-1333
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2443
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4126391
BC/BS
TN
05
—
4126391
—
TN
Enumeration date
10/24/2006
Last updated
02/14/2008
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