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TILLMAN OPTOMETRY LLC
NPI 1538142989
Eyewear Supplier in Rice Lake, WI

Active since November 21, 2005
2304 S MAIN ST, RICE LAKE, WI 54868(715) 736-1700 Get Directions Write a Review

NPPES record last updated: February 20, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tillman Optometry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TILLMAN OPTOMETRY LLC (NPI 1538142989) is a healthcare organization registered as an eyewear supplier in Rice Lake, Wisconsin and active in the NPI registry since November 2005. The organization lists Robert E Tillman, Owner, as its authorized official.

NPPES Registry Identity

NPI1538142989
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameTILLMAN OPTOMETRY LLC
Location Address2304 S MAIN STRice Lake, WI 54868-2900
Mailing Address2304 S Main St, Tillman OptometryRice Lake, WI 54868-2900 · (715) 736-1700
Phone(715) 736-1700
Organization SubpartNo
Authorized OfficialRobert E TillmanOwner · (715) 736-1700
Enumeration DateNovember 21, 2005
Last NPPES UpdateFebruary 20, 2012
✔ NPI 1538142989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Also ListedOptometristTaxonomy 152W00000X
2304 S MAIN ST, Rice Lake, WI 54868
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Other Identifiers 5

Medicaid38563500WI
Other=========010WI · Bcbs
Other130004329WI · Wea
Medicare NSC4549580001WI
Medicare PIN000047261WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT E TILLMAN OD
Optometrist
2304 S MAIN ST
RICE LAKE, WI 54868
Barron County (715) 736-1700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tillman Optometry LLC's NPI number?

The NPI number for Tillman Optometry LLC is 1538142989. It was assigned to this organization in the NPPES registry on November 21, 2005.

Where is Tillman Optometry LLC located?

Tillman Optometry LLC is located at 2304 S Main St, Rice Lake, WI 54868. The listed phone number is (715) 736-1700.

What is Tillman Optometry LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Tillman Optometry LLC was last updated on February 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.