Carol Tillman is a Optometrist in Riverside, California. Carol Tillman practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Carol Tillman is 1770567919. The last update date is 2010-12-30.
Carol Tillman's current location address is 7117 Brockton Ave, Riverside, California. You can contact this provider via phone number 9517825131 and fax number 9517843258. The mailing address for Carol Tillman is 7117 Brockton Ave, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol Tillman |
|---|---|
| Address | 7117 Brockton Ave, Riverside, California |
| Phone Number | 9517825131 |
| Fax Number | 9517843258 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1770567919 |
|---|---|
| Provider Enumeration Date | 2005-12-01 |
| Last Updated Date | 2010-12-30 |
Provider Mailing Address Detail
| Address | 7117 Brockton Ave |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925062615 |
| Phone Number | 9517825131 |
| Fax Number | 9517843258 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | OPT8639T |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1730180415 | GOUP NPI |
Post Comment/ Review Below
What is the unique identifier code issued to Carol Tillman by the Centers for Medicare & Medicaid Services?
The Carol Tillman has been assigned the NPI (National Provider Identifier) 1770567919. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Carol Tillman is geographically located?
The Carol Tillman is physically situated at the following location: 7117 Brockton Ave, Riverside, CA, 925062615.
What is the Carol Tillman's area of specialization and corresponding taxonomy classification?
The Carol Tillman's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1770567919 assigned to Carol Tillman?
The Carol Tillman was issued its 1770567919 on 2005-12-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Carol Tillman's information last updated?
The Carol Tillman's information was last updated on 2010-12-30.
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN