Individual
ALEXANDRIA TILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPS, OD
Contact information
Practice address
25862 ANTONIO PKWY, RANCHO SANTA MARGARITA, CA 92688-5541
(949) 589-6935
Mailing address
25862 ANTONIO PKWY, RANCHO SANTA MARGARITA, CA 92688-5541
(949) 589-6935
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
230148392
CA
152W00000X
Optometrist
Primary
TUV008457
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPTOMETRY LICENSE
TUV008457
NY
Enumeration date
08/28/2016
Last updated
05/26/2026
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