Organization
TILLMAN EYECARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURT E TILLMAN (OWNER)
(812) 476-4936
Entity
Organization
Contact information
Practice address
1700 S GREEN RIVER RD, EVANSVILLE, IN 47715-5744
(812) 476-4936
(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
05
—
100241460A
—
IN
Enumeration date
12/18/2006
Last updated
10/31/2023
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