Tillman Eyecare Pc

LBN: Tillman Eyecare Pc
Tillman Eyecare Pc is an health care organization with primary practice located at 1700 S Green River Rd , Evansville IN 47715-5744. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Tillman Eyecare Pc can be contacted via phone (812) 476-4936, or through Tillman, Kurt E via phone (812) 476-4936.

Contact Information

Primary practice address
1700 S Green River Rd Evansville IN 47715-5744
Phone: (812) 476-4936
Fax: (812) 962-4300
Website:
Map and Directions
Authorized official contact:
Name: Tillman, Kurt E
Phone: (812) 476-4936

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002713B Indiana

Profile Details

NPI number 1588727101
LBN Legal business name Tillman Eyecare Pc
DBA Doing business as
Authorized official Tillman, Kurt E
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Oct 31st, 2023 - about 3 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 1588727101 NPPES
Indiana MEDICAID 100241460A

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