| Daniel L Tiller Pa | |
|
901 12th Ave S, Nampa, ID 83651-4658 | |
| (208) 466-9251 | |
| (208) 463-1714 |
| Full Name | Daniel L Tiller Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 901 12th Ave S, Nampa, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861485989 | NPI | - | NPPES |
| 807007400 | Medicaid | ID | |
| V213-4 | Other | ID | BLUE CROSS OF IDAHO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Idaho) | Primary |
| Provider Name | Emily J Naugle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639331069 PECOS PAC ID: 7113093238 Enrollment ID: I20080913000056 |
| Provider Name | Rodney White |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487647509 PECOS PAC ID: 9830279207 Enrollment ID: I20100331000589 |
| Provider Name | Jacob Charles Watson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851676910 PECOS PAC ID: 2567688484 Enrollment ID: I20140729001476 |
| Provider Name | Shelby Ann Strick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225680739 PECOS PAC ID: 6709113517 Enrollment ID: I20190815002645 |
| Provider Name | Alexandra Gaspar Hollingshead |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225620313 PECOS PAC ID: 9335554435 Enrollment ID: I20210223003033 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel L Tiller Pa 901 12th Ave S, Nampa, ID 83651-4658 Ph: (208) 466-9251 | Daniel L Tiller Pa 901 12th Ave S, Nampa, ID 83651-4658 Ph: (208) 466-9251 |
James K Dean, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 343 W Iowa Ave, Nampa, ID 83686 Phone: 208-467-0001 Fax: 208-466-2205 | |
Dr. Lorance Wilson Harwood, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 820 W Tropical Dr, Nampa, ID 83686 Phone: 208-442-1683 Fax: 208-442-1683 | |
Pinnacle Vision Care, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1213 North Jacob Allcott Way, Nampa, ID 83687 Phone: 208-461-2010 Fax: 208-461-2013 | |
Eyecare Associates Of Nampa Pa Optometrist Medicare: Medicare Enrolled Practice Location: 310 2nd St S, Nampa, ID 83651 Phone: 208-467-1361 Fax: 208-467-9008 | |
Timothy Scott Gibbons, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 310 2nd St S, Nampa, ID 83651 Phone: 208-467-1361 Fax: 208-467-9008 | |
Dr. Daniel L Tiller, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 901 12th Ave S, Nampa, ID 83651 Phone: 208-466-9251 Fax: 208-463-1714 | |
Alexandra Hollingshead Wilson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 901 12th Ave S, Nampa, ID 83651 Phone: 208-466-9251 |