Search › Tennessee › 156FX1800X
Gavin Wilson
NPI 1992567382 · on the registry since 2024 · sole proprietor
Practice
- Address
- 915 Gary St Nw
Cleveland, TN 37311 - Phone
- (423) 260-0729
- Organisation at this address
- Ultimate Vision Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee