Charles Tille, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 5235 Issued in FL

Practice address

3501 S Tamiami TRL
Suite 302
Sarasota, FL 34239-6109

Phone

(253) 970-9300

NPI assigned

May 21, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tille Eye Care & Associates, LLC

  • Optometrist
  • Sarasota, FL
  • NPI 1295185460
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1134508286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 S TAMIAMI TRL",
            "address_2": "SUITE 302",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396109",
            "telephone_number": "253-970-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 S TAMIAMI TRL",
            "address_2": "SUITE 302",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396109",
            "telephone_number": "253-970-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLE",
        "first_name": "CHARLES",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-21",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 5235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Tidwell, MSN, ARNP, FNP-C
• Karen Sue Tidwell, LMHC
• Delphine A Tierney, ARNP
• Smith Morgan Tilka, RMHCI
• Tille Eye Care & Associates, LLC
• Tillman Therapeutic Services, PLLC
• Gina Marie Tillman, LCSW
• Anne Marie Timm, PA-C
• Kylie Timmons
• Timothy a Redman PH D LLC

• Optometrist in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.