Active NPI
Aaron L Wilson, A.B.O.M., D.P.O.
- Optician
- Cleveland, TN
National Provider Identifier
1346384351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DPO0000001141
- Practice address
- 913 Keith St NW
Cleveland, TN 37311-1804 - Phone
- (423) 476-2217
- Fax
- (423) 476-1381
- NPI assigned
- Feb 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | DPO0000001141 | TN | Primary |
Addresses
Primary practice location
913 Keith St NW
Cleveland, TN 37311-1804
Mailing address
913 Keith St NW
Cleveland, TN 37311-1804
Phone (423) 476-2217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0074708 | Other | TN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DPO0000001141 | TN | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1346384351",
"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": "423-254-5738"
},
{
"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": {
"last_name": "WILSON",
"first_name": "AARON",
"middle_name": "L",
"credential": "A.B.O.M., D.P.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "TN",
"license": "DPO0000001141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0074708",
"state": "TN"
}
],
"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 Mar 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.