Organization
GREGORY L. WILSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY LUIS WILSON (OPTOMETRIST)
(812) 934-5347
Entity
Organization
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
18002615A
IN
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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