Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gavin Davis Wilson

Individual provider Optician · NPI 1992567382

Gavin Davis Wilson is an Optician in Cleveland, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2024

Practice location Address checks out

915 Gary St NW
Cleveland, TN 37311-4227
Phone: (423) 260-0729
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 3035 (TN)

Record details

NPI number1992567382
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 30, 2024
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026
Mailing address1790 Rabbit Valley Rd Nw, Cleveland, TN 37312-6921

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