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DR. EVERETT A TILLEY O.D.
NPI 1952392086
Optometrist in Perryville, MO

Active since October 28, 2005
100 S JACKSON ST, PERRYVILLE, MO 63775(573) 547-6233(573) 547-6765 Get Directions Write a Review

NPPES record last updated: October 2, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Everett A Tilley O.d. NPPES

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

DR. EVERETT A TILLEY O.D. (NPI 1952392086) is an individual optometrist in Perryville, Missouri, licensed in Missouri (T02317) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1952392086
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. EVERETT A TILLEYCredential: O.D.
Location Address100 S JACKSON STPerryville, MO 63775-2517
Mailing Address40 E North StEureka, MO 63025-1205 · (636) 200-4393 · Fax (636) 938-2650
Phone(573) 547-6233
Fax(573) 547-6765
Sole ProprietorNo
Enumeration DateOctober 28, 2005
Last NPPES UpdateOctober 2, 2014
✔ NPI 1952392086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MO · T02317
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.
100 S JACKSON ST, Perryville, MO 63775
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Other Identifiers 3

Medicaid1952392086MO
Medicare UPIN242647MO
Medicare PINMA2674003MO

Other Providers at the Same Location NPPES 3

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

DR. AMBER L MCCORMICK-GOSSAGE O.D.
Optometrist
100 S JACKSON ST
PERRYVILLE, MO 63775
Perry County (573) 547-6233
CLARKSON OPTOMETRY INC
Optometrist
100 S JACKSON ST
PERRYVILLE, MO 63775
Perry County (636) 200-4393
DR. STEVEN D TILLEY O.D.
Optometrist
100 S JACKSON ST
PERRYVILLE, MO 63775
Perry County (573) 547-6233

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 Everett Tilley's NPI number?

The NPI number for Everett Tilley is 1952392086. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is Everett Tilley located?

Everett Tilley practices at 100 S Jackson St, Perryville, MO 63775. The listed phone number is (573) 547-6233.

What is Everett Tilley's specialty?

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

When was this NPI record last updated?

The NPPES record for Everett Tilley was last updated on October 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.