| Dr Marshall Perry Tillman, OD | |
|
812 W Wade Hampton Blvd, Greer, SC 29650-1309 | |
| (864) 877-1825 | |
| Not Available |
| Full Name | Dr Marshall Perry Tillman |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 812 W Wade Hampton Blvd, Greer, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245349919 | NPI | - | NPPES |
| 478523100 | Medicaid | MN | |
| 48379 | Other | MN | DAVIS VISION |
| 333471032669 | Other | MN | PREFERRED ONE |
| 52M69TI | Other | MN | BLUE CROSS |
| 15952 | Other | MN | SPECTERA |
| 22-01918 | Other | MN | MEDICA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2109 (Minnesota) | Secondary |
| 152W00000X | Optometrist | 2303 (South Carolina) | Primary |
| Provider Name | Myeyedr Optometry Of South Carolina, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1205248481 PECOS PAC ID: 3173741618 Enrollment ID: O20140826001090 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marshall Perry Tillman, OD 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Dr Marshall Perry Tillman, OD 812 W Wade Hampton Blvd, Greer, SC 29650-1309 Ph: (864) 877-1825 |
Premise Health Of South Carolina Medical, P.c Optometrist Medicare: Not Enrolled in Medicare Practice Location: 415 Brockman Mcclimon Rd, Greer, SC 29651 Phone: 864-989-1432 Fax: 864-989-1462 | |
Stewart Family Eyecare, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 14055 E Wade Hampton Blvd, Greer, SC 29651 Phone: 864-848-4808 Fax: 864-848-4980 | |
Michael Morshed Maseha, Optometrist Medicare: Medicare Enrolled Practice Location: 812 W Wade Hampton Blvd, Greer, SC 29650 Phone: 864-877-1825 Fax: 864-877-1805 | |
Blue Ridge Vision Associates. Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 312 Memorial Dr, Greer, SC 29650 Phone: 864-877-3031 | |
Dr. Mark D Roemmich, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15 Wolf Den Dr, Greer, SC 29650 Phone: 864-630-4631 | |
Michael E Baldwin Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2411 Hudson Rd, Greer, SC 29650 Phone: 864-268-4204 Fax: 864-268-4244 |