Tiller, Daniel L
Tiller, Daniel L is an individual health care provider with primary practice located at 901 12Th Ave S , Nampa ID 83651-4658. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Tiller, Daniel L can be contacted 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-696 | Idaho |
Profile Details
| NPI number | 1154314268 |
|---|---|
| LBN Legal business name | Tiller, Daniel L |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 24th, 2005 |
| Last updated | Mar 10th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154314268 | NPPES |
| Idaho | Other | V5475 | BLUE CROSS OF ID |
| Idaho | Other | 000010015295 | BLUE CROSS OF ID |
| Idaho | MEDICAID | 807007400 | BLUE CROSS OF ID |
Popular Providers
-
Hansen, Scott D.
16449 N. Midland Blvd. , Nampa ID 83687 -
Watson, Jacob Charles
901 12Th Ave S , Nampa ID 83651-4658 -
Mckell, Mark Matthew
2100 Caldwell Blvd , Nampa ID 83651-1510 -
Johnson, Joy Gayle
2100 Caldwell Blvd , Nampa ID 83651-1510 -
Bader, Donald L
2025 12Th Ave Rd , Nampa ID 83686-6459 -
Shipton, Jacob Scott
310 2Nd St S , Nampa ID 83651-3765 -
Harwood, Lorance Wilson
820 W Tropical Dr , Nampa ID 83686-8745 -
Gibbons, Timothy Scott
310 2Nd St S , Nampa ID 83651-3765