NPIMap

Carlson Tillisch Eye Clinic LTD

A Medicare group practice based in Mankato, MN: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3072410521), with 7 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
3072410521The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Optometrist, Part B Supplier - Clinic/Group Practice
Enrolled in
MN
Enrollments
3
Group size
6 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
4In 2 places

Enrollment records 3

Enrollment IDStateProvider typeNPI
O20031215000301 MN Part B Supplier - Clinic/Group Practice 1225116932
O20100930013570 MN DME Supplier - Physician - Optometrist 1225116932
O20100930063893 MN DME Supplier - Physician - Optometrist 1821159435

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 7

Clinicians who reassign their Medicare benefits to this group (7) or whom Care Compare lists as members (6).

Sources for this page