Individual
DANE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
801 INDUSTRIAL BLVD STE 140, SMYRNA, TN 37167-6876
(615) 903-3354
Mailing address
111 17TH AVE S, NASHVILLE, TN 37203-2700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3967
TN
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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