ADVANCED EYECARE
NPI 1861485989
Optometrist in Nampa, ID

Active since August 24, 2005CLIA 13D2041621 · Waiver
901 12TH AVE S, NAMPA, ID 83651(208) 466-9251(208) 463-1714 Get Directions Write a Review

NPPES record last updated: January 14, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Advanced Eyecare NPPES

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

ADVANCED EYECARE (NPI 1861485989) is a healthcare organization registered as an optometrist in Nampa, Idaho and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through May 24, 2028 and lists Rodney L White, Owner, as its authorized official.

NPPES Registry Identity

NPI1861485989
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameDANIEL L TILLER PA
Location Address901 12TH AVE SNampa, ID 83651-4658
Mailing Address901 12th Ave SNampa, ID 83651-4658 · (208) 466-9251 · Fax (208) 463-1714
Fax(208) 463-1714
Organization SubpartNo
Authorized OfficialRodney L WhiteOwner · (208) 466-9251
Enumeration DateAugust 24, 2005
Last NPPES UpdateJanuary 14, 2010
NPI 1861485989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

901 12TH AVE S, Nampa, ID 83651

Other Names 1

Doing Business AsAdvanced Eyecare

Other Identifiers 4

OtherV213-4ID · Blue Cross Of Idaho
Medicare PIN1375555ID
Medicaid807007400ID
Medicare NSC0613630001ID

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2041621

Advanced Eyecare · Nampa, ID
Active · expires May 24, 2028
CLIA Number13D2041621
Laboratory TypePhysician Office
Certificate Effective DateMay 25, 2026
Certificate Expiration DateMay 24, 2028
Laboratory DirectorDaniel L. Tiller
Laboratory Phone(208) 466-9251
Laboratory LocationAdvanced Eyecare901 12th Ave S, Nampa, ID 83651
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Advanced Eyecare carries, from the Medicare DMEPOS supplier directory.

Advanced Eyecare

DMEPOS supplier · Nampa, IDOperated by Daniel L Tiller PA

Accepts Medicare assignment

Advanced Eyecare agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20636303
Medicare Participant SinceMay 19, 1998
Supplier Location901 12th Ave SNampa, ID 83651
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 6

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

Optometrist
901 12TH AVE S
NAMPA, ID 83651
Optometrist
901 12TH AVE S
NAMPA, ID 83651
Optometrist
901 12TH AVE S
NAMPA, ID 83651
Optometrist
901 12TH AVE S
NAMPA, ID 83651
Optometrist
901 12TH AVE S
NAMPA, ID 83651
Optometrist
901 12TH AVE S
NAMPA, ID 83651

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 Daniel L Tiller PA's NPI number?

The NPI number for Daniel L Tiller PA is 1861485989. It was assigned to this organization in the NPPES registry on August 24, 2005. The provider is doing business as Advanced Eyecare.

Where is Daniel L Tiller PA located?

Daniel L Tiller PA is located at 901 12th Ave S, Nampa, ID 83651. The listed phone number is (208) 466-9251.

What is Daniel L Tiller PA's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Daniel L Tiller PA accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Advanced Eyecare accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Daniel L Tiller PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2041621) is associated with this NPI, valid through May 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Daniel L Tiller PA accept?

Health plans from Moda Health Plan, Inc. list Daniel L Tiller PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Daniel L Tiller PA was last updated on January 14, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.