Everett A Tilley in Eureka - Optometrist

Everett A Tilley - NPI 1952392086

Everett A Tilley is a Optometrist in Eureka, Missouri. Everett A Tilley practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Everett A Tilley is 1952392086. The last update date is 2014-10-02.

Everett A Tilley's current location address is 40 E North St, Eureka, Missouri. You can contact this provider via phone number 6362004393 and fax number 6369382650. The mailing address for Everett A Tilley is 40 E North St, Eureka, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Everett A Tilley
Address 40 E North St, Eureka, Missouri
Phone Number 6362004393
Fax Number 6369382650
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1952392086
Provider Enumeration Date 2005-10-28
Last Updated Date 2014-10-02

Provider Mailing Address Detail

Address 40 E North St
City Eureka
State Missouri (MO)
Post Code 630251205
Phone Number 6362004393
Fax Number 6369382650

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No T02317
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1952392086 MO --

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FAQs about Everett A Tilley

What is the unique 10-digit identifier code assigned to Everett A Tilley by the Centers for Medicare & Medicaid Services?

The Everett A Tilley has been issued the NPI (National Provider Identifier) 1952392086 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Everett A Tilley is located?

The Everett A Tilley is situated at the following address: 40 E North St, Eureka, MO, 630251205.

What is Everett A Tilley's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Everett A Tilley is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.

On what date did Everett A Tilley receive its 1952392086 assignment from the Centers for Medicare & Medicaid Services?

The Everett A Tilley was assigned its 1952392086 on 2005-10-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Everett A Tilley, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Everett A Tilley, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-10-02.

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