Aaron L Wilson

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

DPO0000001141 Issued in TN

Legal business name

AARON L WILSON

Doing business as

Pearle Vision

Practice address

913 Keith St NW
Cleveland, TN 37311-1804

Phone

(423) 476-2217

Fax

(423) 476-1381

NPI assigned

Mar 18, 2008

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aaron L Wilson, A.B.O.M.NPI 1346384351

Title

Owner

Phone

(423) 476-2217

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pearle Vision Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Aaron L Wilson, A.B.O.M., D.P.O.

  • Optician
  • Cleveland, TN
  • NPI 1346384351
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1164693131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111804",
            "telephone_number": "423-476-2217",
            "fax_number": "423-476-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111804",
            "telephone_number": "423-476-2217",
            "fax_number": "423-476-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AARON L WILSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-476-2217",
        "authorized_official_credential": "A.B.O.M."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TN",
            "license": "DPO0000001141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0074708",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 1977 Mesk (Remedy Wound Care)
• 1977 Mesk (Remedy Wound Care)
• A Natural Touch Chiropractic, Inc
• A&K Transport Inc
• Abbas Agha MD PLLC
• Heidi Ables
• Glorimar Abreu Rivera
• Loraine O. Achebe, M.D
• Angela Adams, SLP-CCC

• Eyewear Supplier in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Eyewear Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.