Aaron L Wilson in Cleveland - Eyewear Supplier
Aaron L Wilson - NPI 1164693131
Aaron L Wilson is a Eyewear Supplier in Cleveland, Tennessee. Aaron L Wilson practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Aaron L Wilson is 1164693131. The last update date is 2008-06-16.
Aaron L Wilson's current location address is 913 Keith St Nw, Cleveland, Tennessee. You can contact this provider via phone number 4234762217 and fax number 4234761381. The mailing address for Aaron L Wilson is 913 Keith St Nw, Cleveland, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Aaron L Wilson |
|---|---|
| Address | 913 Keith St Nw, Cleveland, Tennessee |
| Phone Number | 4234762217 |
| Fax Number | 4234761381 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wilson L Aaron |
| Credentials | A.B.O.M. |
| Telephone Number | 4234762217 |
NPI Number Detail
| NPI Number | 1164693131 |
|---|---|
| Provider Enumeration Date | 2008-03-18 |
| Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
| Address | 913 Keith St Nw |
|---|---|
| City | Cleveland |
| State | Tennessee (TN) |
| Post Code | 373111804 |
| Phone Number | 4234762217 |
| Fax Number | 4234761381 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | DPO000000114 |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 74708 | TN | BCBS |
Post Comment/ Review Below
What is the Aaron L Wilson's unique identification number?
The Aaron L Wilson has been assigned the NPI (National Provider Identifier) Number 1164693131 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Aaron L Wilson's facilities are situated?
The facilities of Aaron L Wilson are physically located at the following address: 913 Keith St Nw, Cleveland, TN, 373111804.
What is Aaron L Wilson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Aaron L Wilson's area of specialization is Eyewear Supplier, and the corresponding taxonomy code that categorizes this field of practice is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164693131 to Aaron L Wilson?
The Centers for Medicare & Medicaid Services originally issued the 1164693131 to Aaron L Wilson on 2008-03-18.
When was the Aaron L Wilson's information last updated?
The Aaron L Wilson's information was last updated on 2008-06-16.
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