SHEENA M TILLMAN (NPI# 1417190638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417190638 |
| Entity Type | Individual |
| Full Name | SHEENA M TILLMAN |
| Practice Address |
10300 Little Patuxent Pkwy Columbia MD 21044-3341 |
| Practice Telephone | 4108846500 |
| Practice Fax Number | 4108840873 |
| Mailing Telephone | 4108846500 |
| Mailing Fax Number | 4108840873 |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2009-04-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
Eye and Vision Services Providers | ||
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992989354 | Sheena Rae Tillman | Case Manager/Care Coordinator | 320 W Temple St Fl 9, Los Angeles, CA 90012-3217 | 2007-12-20 |
| Street Address |
10300 LITTLE PATUXENT PKWY |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-3341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346261401 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 10300 Little Patuxent Pkwy, Columbia, MD 21044 | 2006-07-22 |
| 1861013849 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 10300 Little Patuxent Pkwy, Columbia, MD 21044-3341 | 2020-05-01 |
| 1639600760 | Dr. Marcus A Hood Od & Assoc.inc. | Optometrist | 10300 Little Patuxent Pkwy, 1630, Columbia, MD 21044-3341 | 2017-03-21 |
| 1497206460 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 10300 Little Patuxent Pkwy, Columbia, MD 21044-3341 | 2016-10-14 |
| 1043647993 | All Eyes On You, Inc | Eyewear Supplier (Equipment, not the service) | 10300 Little Patuxent Pkwy, Columbia, MD 21044-3341 | 2013-10-08 |
| 1457796393 | James Orban | Hearing Instrument Specialist | 10300 Little Patuxent Pkwy, Columbia, MD 21044-3341 | 2013-05-06 |
| 1912250283 | Robert Ledyard | Hearing Instrument Specialist | 10300 Little Patuxent Pkwy, Columbia, MD 21044-3341 | 2012-10-23 |
| 1518135789 | Tctf LLC | Technician/Technologist | 10300 Little Patuxent Pkwy, Ste. 2870, Columbia, MD 21044-3341 | 2008-02-11 |
| 1538368410 | Emerging Vision | Technician/Technologist | 10300 Little Patuxent Pkwy, Columbia Mall, Columbia, MD 21044-3341 | 2007-07-12 |
| 1770601106 | Nelson Stephen Delgado | Optometrist | 10300 Little Patuxent Pkwy, Suite 1005-b, Columbia, MD 21044-3341 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629590864 | Grechia Stanley Devito | Technician/Technologist | 411 Commerce Dr Ne, Columbia, SC 29223-4583 | 2017-07-10 |
| 1104274307 | Wal-mart Stores East, Lp | Technician/Technologist | 733 Fashion Drive, Columbia, SC 29229-0000 | 2016-05-27 |
| 1992947576 | America's Best Contacts & Eyeglasses | Technician/Technologist | 5580 Forest Dr Ste 118, Columbia, SC 29206-5000 | 2009-03-30 |
| 1942461934 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1201 Grindstone Pkwy Ste 113, Columbia, MO 65201-3741 | 2008-06-23 |
| 1912182262 | Arama Vision Care | Technician/Technologist | 1823 Shadowood Dr, Columbia, SC 29212-2035 | 2008-01-07 |
| 1316161797 | Wal-mart Stores, Inc | Technician/Technologist | 1326 Bush River Road, Columbia, SC 29210 | 2007-04-13 |
| 1720109622 | Sansbury Eye Center | Technician/Technologist | 275 Harbison Blvd Ste T, Columbia, SC 29212-2222 | 2007-04-02 |
| 1447387048 | Gordon Quatlebaum Scott Jr. | Technician/Technologist | 1812 Washington St, Columbia, SC 29201-3549 | 2007-02-28 |
| 1720134513 | Columbia Eyewear | Technician/Technologist | 500 Keene Street, Suite 103, Columbia, MO 65201 | 2007-01-26 |
| 1407932734 | Wal-mart Stores East, Lp | Technician/Technologist | 3001 W. Broadway, Columbia, MO 65203 | 2006-10-30 |
| Find all providers in COLUMBIA | ||||
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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.