| Dr Steven D Tilley, OD | |
|
100 S Jackson St, Perryville, MO 63775-2517 | |
| (573) 547-6233 | |
| (573) 547-6765 |
| Full Name | Dr Steven D Tilley |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 100 S Jackson St, Perryville, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699766014 | NPI | - | NPPES |
| 1699766014 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | T03407 (Missouri) | Primary |
| 152W00000X | Optometrist | 046-009101 (Illinois) | Secondary |
| Provider Name | Clarkson Optometry Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1497155345 PECOS PAC ID: 0840411799 Enrollment ID: O20141020000232 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Steven D Tilley, OD 40 E North St, Eureka, MO 63025-1205 Ph: (636) 200-4393 | Dr Steven D Tilley, OD 100 S Jackson St, Perryville, MO 63775-2517 Ph: (573) 547-6233 |
Dr. Amber L Mccormick-gossage, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 100 S Jackson St, Perryville, MO 63775 Phone: 573-547-6233 Fax: 573-547-6765 | |
Clarkson Optometry Inc Optometrist Medicare: Medicare Enrolled Practice Location: 100 S Jackson St, Perryville, MO 63775 Phone: 636-200-4393 Fax: 573-547-6765 | |
Brost & Strohmeyer Family Eye Care Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 707 N Main St, Perryville, MO 63775 Phone: 573-547-1898 Fax: 573-547-7882 | |
Dr. Everett A Tilley, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 100 S Jackson St, Perryville, MO 63775 Phone: 573-547-6233 Fax: 573-547-6765 |