Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CHARLES P TILLMAN JR., O.D.
Active Sole ProprietorDR. CHARLES P TILLMAN JR., O.D. is a Optometrist healthcare provider located in EUPORA, Mississippi. NPI 1275630626 is currently active in the NPPES registry. Verify at CMS.
Optometrist · EUPORA, MS
Registration Details
- NPI Number
- 1275630626
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 20, 2006 (19.713828758803 yrs)
- Last Updated
- May 27, 2008
- License
-
519 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3126 E ROANE AVEEUPORA, MS, 397442638Browse MS providers · Browse ZIP 39744
- Phone
- 6622582020
- Fax
- 6622582030
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in EUPORA, MS
| Name | Credential | NPI |
|---|---|---|
| TAYLOR ELIZABETH O'DANIEL | — | 1689354417 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.