Individual
DR. KURT E TILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1700 S GREEN RIVER RD, EVANSVILLE, IN 47715-5744
(812) 423-1142
(812) 962-4300
Mailing address
1700 S GREEN RIVER RD, EVANSVILLE, IN 47715-5744
(812) 476-4936
(812) 962-4300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002713B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000501097
BCBS
—
05
—
100464900A
—
IN
Enumeration date
02/17/2006
Last updated
10/31/2023
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