Tillman Optometry Llc is a
Eyewear Supplier based in Rice Lake, Wisconsin. Tillman Optometry Llc is licensed to practice in * (Not Available) (license number ) and their current practice location is
2304 S Main St, Rice Lake, Wisconsin. It can be reached at their office (for appointments etc.) via phone at
(715) 736-1700.
NPI number for Tillman Optometry Llc is 1538142989 and their current mailing address is 2304 S Main St, Tillman Optometry, Rice Lake, Wisconsin. Tillman Optometry Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1538142989.
Healthcare Provider's Profile
| Full Name | Tillman Optometry Llc |
|---|
| Type | Facility |
|---|
| Speciality | Eyewear Supplier |
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| Location | 2304 S Main St, Rice Lake, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1538142989
- Provider Enumeration Date: 11/21/2005
- Last Update Date: 02/20/2012
Medical Identifiers
Medical identifiers for Tillman Optometry Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538142989 | NPI | - | NPPES |
| 130004329 | Other | WI | WEA |
| 38563500 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tillman Optometry Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tillman Optometry Llc
2304 S Main St, Tillman Optometry,
Rice Lake, WI 54868-2900
Ph: (715) 736-1700 | Tillman Optometry Llc
2304 S Main St,
Rice Lake, WI 54868-2900
Ph: (715) 736-1700 |
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