KENNETH TILLES, O.D., P.A. (NPI# 1679847974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679847974 |
| Entity Type | Organization |
| Organization Name | KENNETH TILLES, O.D., P.A. |
| Practice Address |
825 Dulaney Valley Rd Suite 264 Towson MD 21204-1010 |
| Practice Telephone | 4108284133 |
| Practice Fax Number | 4108284646 |
| Mailing Telephone | 4108284133 |
| Mailing Fax Number | 4108284646 |
| Enumeration Date | 2012-03-04 |
| Last Update Date | 2012-03-28 |
| Authorized Official Name | DR. KENNETH TILLES (PRESIDENT) |
| Authorized Official Telephone | 4108284132 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0641 | MD | Eye and Vision Services Providers |
| Street Address |
825 DULANEY VALLEY RD SUITE 264 |
| City | TOWSON |
| State | MD |
| Zip Code | 21204-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568542611 | Clark Lee Seyboth | Optometrist | 825 Dulaney Valley Rd, Suite 302, Towson, MD 21204-1010 | 2006-10-16 |
| 1750902730 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 825 Dulaney Valley Rd, Towson, MD 21204-1010 | 2020-05-01 |
| 1043670623 | Myeyedr Optometry of Maryland, LLC | Optometrist | 825 Dulaney Valley Rd, Space 2135, Towson, MD 21204-1010 | 2016-02-25 |
| 1942669254 | Dr. Clark L. Seyboth & Associates, P.a. | Optometrist | 825 Dulaney Valley Rd, Suite 302, Towson, MD 21204-1010 | 2016-02-15 |
| 1639203870 | Kenneth Tilles | Optometrist | 825 Dulaney Valley Rd, 2nd Floor, Towson, MD 21204-1010 | 2007-03-16 |
| 1144385105 | Valerie Witaker | Optometrist | 825 Dulaney Valley Rd, Suite 1335, Towson, MD 21204-1010 | 2006-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| 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 |
|---|---|---|---|---|
| 1164904819 | Lizanette Paulino | Optometrist | 825 Dulaney Valley Rd Ste 1335, Towson, MD 21204-1300 | 2018-08-29 |
| 1972025104 | Deena Ghazzi | Optometrist | 40 York Rd Ste 500, Towson, MD 21204-5243 | 2017-07-10 |
| 1699891515 | Sabrina Greenspun Levitt | Optometrist | 555 Fairmount Ave Suite 201, Towson, MD 21286 | 2007-03-22 |
| 1568542611 | Clark Lee Seyboth | Optometrist | 825 Dulaney Valley Rd, Suite 302, Towson, MD 21204-1010 | 2006-10-16 |
| 1457364796 | Vernon Reese | Optometrist | 1220 A East Joppa Rd., Suite 110, Towson, MD 21286 | 2006-08-15 |
| 1790712198 | National Vision Inc | Optometrist | 909 Taylor Ave, Towson, MD 21286-8311 | 2006-06-28 |
| 1407849995 | Mark Stephen Foley | Optometrist | 8625 Pleasant Plains Rd, Towson, MD 21286-2352 | 2005-08-30 |
| 1568979763 | Myeyedr Optometry of Maryland, LLC | Optometrist | 825 Goucher Blvd, Towson, MD 21286-5680 | 2018-01-09 |
| 1043670623 | Myeyedr Optometry of Maryland, LLC | Optometrist | 825 Dulaney Valley Rd, Space 2135, Towson, MD 21204-1010 | 2016-02-25 |
| 1942669254 | Dr. Clark L. Seyboth & Associates, P.a. | Optometrist | 825 Dulaney Valley Rd, Suite 302, Towson, MD 21204-1010 | 2016-02-15 |
| Find all providers in TOWSON | ||||
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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.