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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KENNETH TILLES, O.D., P.A.

Active Organization

KENNETH TILLES, O.D., P.A. is a Optometrist organization located in TOWSON, Maryland. NPI 1679847974 is currently active in the NPPES registry. Verify at CMS.

Optometrist · TOWSON, MD

Registration Details

NPI Number
1679847974
Provider Type
Organization
NPI Issued
Mar 4, 2012 (14.479405610448 yrs)
Last Updated
Mar 28, 2012
License
0641 (MD)

Practice Information

Address
825 DULANEY VALLEY RD
SUITE 264
TOWSON, MD, 212041010
Browse MD providers · Browse ZIP 21204
Phone
4108284133
Fax
4108284646
Primary Specialty
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.