Tillman Optometry Llc in Rice Lake - Eyewear Supplier

Tillman Optometry Llc - NPI 1538142989

Tillman Optometry Llc is a Eyewear Supplier in Rice Lake, Wisconsin. Tillman Optometry Llc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Tillman Optometry Llc is 1538142989. The last update date is 2012-02-20.

Tillman Optometry Llc's current location address is 2304 S Main St, Rice Lake, Wisconsin. You can contact this provider via phone number 7157361700. The mailing address for Tillman Optometry Llc is 2304 S Main St, Rice Lake, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Tillman Optometry Llc
Address 2304 S Main St, Rice Lake, Wisconsin
Phone Number 7157361700
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Tillman E Robert
Credentials OD
Telephone Number 7157361700

NPI Number Detail

NPI Number 1538142989
Provider Enumeration Date 2005-11-21
Last Updated Date 2012-02-20

Provider Mailing Address Detail

Address 2304 S Main St
City Rice Lake
State Wisconsin (WI)
Post Code 548682900
Phone Number 7157361700
Fax Number

Provider's Primary Taxonomy Detail

Speciality Eyewear Supplier
Taxonomy 332H00000X
Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
130004329 WI WEA
38563500 WI --

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FAQs about Tillman Optometry Llc

What is the unique identifier code issued to Tillman Optometry Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Tillman Optometry Llc has been assigned the NPI (National Provider Identifier) 1538142989. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Tillman Optometry Llc's facilities are geographically located?

The facilities of Tillman Optometry Llc are physically situated at the following location: 2304 S Main St, Rice Lake, WI, 548682900.

What is Tillman Optometry Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Tillman Optometry Llc is Eyewear Supplier, and the taxonomy code that categorizes this field of expertise is 332H00000X.

On what date was the 1538142989 assigned to Tillman Optometry Llc?

The Tillman Optometry Llc was issued its 1538142989 on 2005-11-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Tillman Optometry Llc most recently updated or refreshed?

The details pertaining to the Tillman Optometry Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-02-20.

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