Organization Active NPI

Ultimate Vision LLC

  • Optician
  • Cleveland, TN
National Provider Identifier
1346195369
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
ULTIMATE VISION LLC
Practice address
915 Gary St NW
Cleveland, TN 37311-4227
Phone
(423) 260-0729
NPI assigned
Mar 4, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Mr. Gavin Wilson, DPO 3035NPI 1992567382
Title
Member/ Optician
Phone
(423) 260-0729

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

915 Gary St NW
Cleveland, TN 37311-4227

Mailing address

1790 Rabbit Valley Rd NW
Cleveland, TN 37312-6921
Phone (423) 260-0729

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1772582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1346195369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 RABBIT VALLEY RD NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373126921",
            "telephone_number": "423-260-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 GARY ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373114227",
            "telephone_number": "423-260-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTIMATE VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_title_or_position": "MEMBER/ OPTICIAN",
        "authorized_official_telephone_number": "423-260-0729",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DPO 3035"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.