Gregory L. Wilson

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002615A Issued in IN

Legal business name

GREGORY L. WILSON

Practice address

1055 Tekulve Rd
Batesville, IN 47006-8979

Phone

(812) 934-5347

Fax

(812) 932-2020

NPI assigned

Feb 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Luis Wilson

Title

Optometrist

Phone

(812) 934-5347

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1861661407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 TEKULVE RD",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470068979",
            "telephone_number": "812-934-5347",
            "fax_number": "812-932-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 TEKULVE RD",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470068979",
            "telephone_number": "812-934-5347",
            "fax_number": "812-932-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY L. WILSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "812-934-5347",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002615A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Batesville, IN
• Providers in Batesville, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.