DR. CHARLES P TILLMAN JR. (NPI# 1275630626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275630626 |
| Entity Type | Individual |
| Full Name | DR. CHARLES P TILLMAN JR. |
| Credential | O.D. |
| Practice Address |
3126 E Roane Ave Eupora MS 39744-2638 |
| Mailing Address |
Po Box 225 3126 E Roane Ave Eupora MS 39744-0225 |
| Practice Telephone | 6622582020 |
| Practice Fax Number | 6622582030 |
| Mailing Telephone | 6622582020 |
| Mailing Fax Number | 6622582030 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 519 | MS | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1772968 | 05 | |
| MS | 0087039 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164911210 | Charles Tillman | Pharmacist | 2012 Memorial Blvd, Murfreesboro, TN 37129-5119 | 2018-05-03 |
| 1336124809 | Charles O Tillman IIi | Physical Therapist | 1201 Heritage Cir, Pawnee, OK 74058-3744 | 2005-12-07 |
| 1891781225 | Charles H Tillman Jr. | Internal Medicine | 201 E Monroe St, Mexico, MO 65265-2852 | 2005-09-21 |
| Street Address |
3126 E ROANE AVE |
| City | EUPORA |
| State | MS |
| Zip Code | 39744-2638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033240825 | Eye Clinic of Eupora, Inc | Optometrist | 3126 E Roane Ave, Eupora, MS 39744-2638 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255991196 | Sky Family Dental, LLC | Clinic/Center | 200 Meadowlane Street, Eupora, MS 39744 | 2019-06-13 |
| 1598009466 | Encore Rehabilitation Inc | Physical Therapist | 1710 Veterans Memorial Blvd, Eupora, MS 39744 | 2012-11-16 |
| 1700943180 | Supervalue Pharmacy | Durable Medical Equipment & Medical Supplies | 210 A Veterans Blvd N, Eupora, MS 39744 | 2007-01-03 |
| 1285738518 | North Mississippi Medical Clinics Inc | Family Medicine | 500 A Highway 9 South, Eupora, MS 39744 | 2006-09-08 |
| 1336241678 | Daniel Dean Hall | Dentist | 405 West Roane Ave, Eupora, MS 39744 | 2006-09-05 |
| 1093795148 | Murphy Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 65 Medical Plaza, Eupora, MS 39744 | 2006-01-17 |
| 1750991311 | Candace Carolyne Cain | Nurse Practitioner | 1538 Veterans Memorial Blvd, Eupora, MS 39744 | 2020-08-07 |
| 1780062265 | April S Dabbs | Pharmacist | 1536 Veterans Memorial Blvd, Eupora, MS 39744 | 2015-05-15 |
| 1891279030 | Haley Murphy | Nurse Practitioner | 1538 Veterans Memorial Blvd, Eupora, MS 39744-2001 | 2018-09-24 |
| 1467862961 | Dabbs Family Pharmacy LLC | Pharmacy | 1536 Veterans Memorial Blvd, Eupora, MS 39744-2001 | 2014-05-06 |
| Find all providers in zip 39744 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033240825 | Eye Clinic of Eupora, Inc | Optometrist | 3126 E Roane Ave, Eupora, MS 39744-2638 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386252609 | Primary Eyecare South LLC | Optometrist | 1217 S Frontage Rd Ste E, Meridian, MS 39301-6124 | 2020-07-22 |
| 1497371306 | Premier Eye Care, Pllc | Optometrist | 940 W Commerce St, Aberdeen, MS 39730-2337 | 2020-06-17 |
| 1902430937 | Dr Elizabeth M Darby Optometrist Pllc | Optometrist | 504 Easel St, Taylor, MS 38673 | 2020-02-28 |
| 1699320929 | Channing F Bucklew | Optometrist | 3090 N Church Ave, Louisville, MS 39339-6349 | 2019-08-05 |
| 1083266498 | Royce Vandiver Miles Jr. | Optometrist | 521 Deerfield Dr, Forest, MS 39074-6006 | 2019-07-15 |
| 1952965022 | Byhalia Vision Center LLC | Optometrist | 8250 Hwy 178 West, Byhalia, MS 38611-6776 | 2019-04-24 |
| 1770044497 | Tri County Eye Clinic, Pllc | Optometrist | 3430 Bienville Boulevard, Ocean Springs, MS 39564-5732 | 2019-03-26 |
| 1508351628 | Hilarie Nixon Holt | Optometrist | 301 Northlake Ave Ste 101, Ridgeland, MS 39157-1720 | 2018-06-30 |
| 1770097883 | Keeping Focus LLC. | Optometrist | 4223 I-20 Frontage Rd Apt J18, Vicksburg, MS 39183-3533 | 2017-11-28 |
| 1386168730 | Nettie Hines | Optometrist | 1006 Treetops Blvd Ste 105, Flowood, MS 39232-7645 | 2017-07-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.