Advanced Eyecare

LBN: Daniel L Tiller Pa
Advanced Eyecare is an health care organization with primary practice located at 901 12Th Ave S , Nampa ID 83651-4658. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Daniel L Tiller Pa can be contacted via phone (208) 466-9251, or through White, Rodney L via phone (208) 466-9251.

Contact Information

Primary practice address
901 12Th Ave S Nampa ID 83651-4658
Phone: (208) 466-9251
Fax: (208) 463-1714
Website:
Map and Directions
Authorized official contact:
Name: White, Rodney L Doctor of Optometry (OD)
Phone: (208) 466-9251

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X Idaho

Profile Details

NPI number 1861485989
LBN Legal business name Daniel L Tiller Pa
DBA Doing business as Advanced Eyecare
Authorized official White, Rodney L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2005
Last updated Jan 14th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861485989 NPPES
Idaho MEDICAID 807007400
Idaho Other V213-4

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