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Organization
TILLEY EYE CARE CENTERS LLC
Active
Organization
TILLEY EYE CARE CENTERS LLC
Active
Other names
Vision Source
Organization subpart
No
Provider details
NPI number
Authorized official
TOBIN B TILLEY OD (OWNER)
(830) 257-5656
Entity
Organization
Contact information
Practice address
708 HILL COUNTRY DR, SUITE 100, KERRVILLE, TX 78028
(830) 257-5656
(830) 257-5856
Mailing address
708 HILL COUNTRY DR, SUITE 100, KERRVILLE, TX 78028-6071
(830) 257-5656
(830) 257-5856
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147417301
—
TX
Enumeration date
11/16/2006
Last updated
06/30/2018
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